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Texas 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 / $7.02 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $6.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $23.99 / $47.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $4.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.52 / $1,917.52 / $1,917.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $5.59 / $5.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.91 / $7.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $7.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.91 / $7.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $5.28