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South Carolina 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 $7 · 10th–90th $4–$170%10%10th90th$7Professionalmedian $4 · 10th–90th $3–$60%50%10th90th$4$2.0$5.0$10.0$20.0

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
$3.98 / $5.50 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $10.47 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.55 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.90 / $18.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.25