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New Mexico 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
$7.00 / $5,116.32 / $5,116.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.34 / $8,160.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $32.22 / $54.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $6.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91