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New York 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
$3.89 / $5.13 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.07 / $4,073.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $16.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.68 / $12.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.07 / $4.68