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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)

Facilitymedian $26 · 10th–90th $4–$5,1290%10%20%10th90th$26Professionalmedian $4 · 10th–90th $3–$2,3990%20%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$4.27 / $11.22 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $32.36 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $7.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.98