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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)

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

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
$3.89 / $5.62 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.55 / $10.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $7.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $7.59
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.07 / $8.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $15.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.17 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.37 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.76 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.98