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Utah rates for HCPCS J0717

Injection Certolizumab Pegol 1 Mg (Code May Be Used For Medicare When Drug Administered Under Thedirect Supervision Of A Physician Not For Use When Drug Is Self Administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $4.54 / $456.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $5.69 / $7.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $13.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91