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Washington 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
$4.30 / $8.98 / $18.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.30 / $1,786.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $6.59 / $13.48
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.23 / $9.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $9.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $5.08 / $11.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $8.10 / $14.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.49 / $17.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $4.69 / $9.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91