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Tennessee 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
$3.91 / $5.84 / $9.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $17.16 / $17.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $15.30