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New Jersey 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
$3.91 / $6.33 / $11.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $6.96 / $7.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $16.59 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.79