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New Hampshire rates for HCPCS J0717

Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $5.03 / $8.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $7.04 / $17.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $6.35 / $12.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.93 / $9.72