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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $8.13 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $7.76 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.92 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.89 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $14.45 / $15.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.75 / $15.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.75 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.89 / $4.90