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Oregon 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 / $5.62 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $5.50 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $8.71 / $10.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.07 / $7.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.07 / $7.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.90 / $8.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.50 / $15.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.17 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.37 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.98