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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)

Facilitymedian $6 · 10th–90th $5–$6,9180%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$80%50%90th$3$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.89 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.57 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $19.05
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $147.91 / $20,417.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.90 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.68