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Virginia 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–$110%10%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$0.1$0.2$1.0$5.0

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
$3.02 / $8.13 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $4.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.59 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $6.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.92 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $7.08 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.89 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $14.45 / $15.49
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.62 / $15.85
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.62 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.89 / $5.01