go back

Vermont 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
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