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Vermont 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
Professional
Modifier
Low / Median / High Price
$3.91 / $4.34 / $7.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.43 / $4.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $4.51 / $7.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $4.51 / $7.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.91 / $15.30