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Oklahoma 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
$4.23 / $4.84 / $8.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $9.02 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $5.32 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.49 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91