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Pennsylvania 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 $8 · 10th–90th $4–$120%20%10th90th$8Professionalmedian $4 · 10th–90th $3–$2,6920%20%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $9.12 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $2,691.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $13.18 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.61 / $6.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.75 / $14.45
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $5.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.01 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.08