Code: J0717

Description:
Description: 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)
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT FOR SELF ADMINISTRATION
CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT
Certolizumab pegol inj 1mg
Related codes:
Code: J0710
Description: Injection, cephapirin sodium, up to 1 gm
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J0712
CEFTAROLINE 600 MG INJ
Code: J0713
CEFTAZIDME 280 MG/ML INJ
Code: J0714
CEFTAZ/AVIBCT 2.5 G INJ
Code: J0715
CEFTIZOXIME 2 G BAG
Code: J0716
CENTRUROIDES 120 MG INJ
Code: J0718
INJECTION CERTOLIZUMAB PEGOL 1 MG
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital St Teresa Inc. 14800 W Saint Teresa St, Wichita J0717 $7 [source] 4 years ago
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan J0717 $8 [source] 4 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita J0717 $10 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg J0717 $10 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission J0717 $6,448 [source] 4 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita J0717 $8,133 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City J0717 $10,528 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa J0717 $14,079 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.