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Nationwide rates for HCPCS J1438

Injection, etanercept, 25 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)

Facilitymedian $1,318 · 10th–90th $724$3,0200%20%10th90th$1,318Professionalmedian $1,023 · 10th–90th $851$1,2300%50%10th90th$1,023$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,023.29 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,258.93 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,071.52 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,621.81 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,096.48 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $954.99 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,071.52 / $1,230.27