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Ohio 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 / $7.24 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $8.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $7.24 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.27 / $7.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $22.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $22.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.79 / $5.62
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.31 / $8.71
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 / $4.17