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Utah 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
$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