go back

Wyoming 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
$4.49 / $4.49 / $4.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.00 / $9.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91