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Methodology•Download Data
  1. Home
  2. Procedures
  3. J0717
  4. Cost Analysis

How Much Does 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) Cost on Medicare?

Cost analysis for CPT 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)

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Average Medicare Payment

N/A

Total Payments (Latest)

N/A

Services (Latest)

N/A

Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. RI averages $3.92 vs HI at $3.82.

StateAvg PaymentTotal PaymentsServicesProviders
RI$3.92$522.3K133.2K2
MS$3.91$1.6M405.0K11
MN$3.91$96.3K24.6K3
NY$3.91$4.8M1.2M26
OR$3.91$587.9K150.4K5
AZ$3.91$4.9M1.3M20
ID$3.91$392.4K100.4K2
WV$3.91$315.7K80.8K1
WI$3.91$439.9K112.6K3
NH$3.90$150.9K38.7K1
SD$3.90$526.9K135.0K3
UT$3.90$3.9M994.4K10
CO$3.90$1.5M378.4K11
KS$3.90$2.2M565.2K11
NJ$3.90$13.6M3.5M62
OH$3.90$2.7M683.2K9
VA$3.90$11.6M3.0M32
IA$3.90$1.5M385.4K16
FL$3.90$35.1M9.0M116
PA$3.90$14.8M3.8M66
ME$3.89$252.3K64.8K1
SC$3.89$5.8M1.5M21
NE$3.89$2.1M532.4K5
WA$3.89$561.9K144.4K4
CT$3.89$1.0M267.3K8
MA$3.89$676.9K174.0K4
IL$3.89$10.0M2.6M41
AR$3.89$3.1M786.9K11
LA$3.89$2.6M676.7K10
NV$3.88$1.2M318.6K5
NC$3.88$6.4M1.7M36
DE$3.88$4.1M1.1M11
IN$3.88$3.0M768.2K15
OK$3.88$1.5M395.2K6
MT$3.88$77.6K20.0K1
TN$3.88$6.1M1.6M23
AL$3.88$3.2M837.0K9
MD$3.87$5.6M1.5M25
NM$3.87$1.0M264.0K4
MI$3.87$775.9K200.4K5
TX$3.87$24.8M6.4M91
GA$3.87$3.4M875.6K17
MO$3.87$3.6M940.0K14
CA$3.87$13.7M3.5M42
DC$3.86$635.9K164.6K2
KY$3.86$7.5M1.9M26
HI$3.82$603.5K158.0K1

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Vinicius Costa Diniz DominguesRheumatologyFL$3.8M983.8K$3.91
Nehal GandhiRheumatologyPA$2.0M507.6K$3.87
Vipul JoshiRheumatologyFL$1.3M340.0K$3.91
Raza HashmiRheumatologyTN$1.2M321.2K$3.87
Richard HaddadRheumatologyNJ$1.2M313.2K$3.90
Tyler HobbsNurse PractitionerUT$1.1M277.2K$3.91
Rajpreet SinghRheumatologyTX$1.1M286.4K$3.73
David CarletonRheumatologyVA$1.1M270.8K$3.90
William ChafinRheumatologyGA$1.1M270.4K$3.90
William SunshineRheumatologyFL$1.0M264.8K$3.92
Phong NguyenRheumatologyVA$1.0M264.4K$3.92
Mohamed AboyoussefRheumatologyFL$1.0M262.0K$3.88
Michael GrantRheumatologyUT$996.5K255.0K$3.91
John BrittisRheumatologySC$983.0K252.0K$3.90
Joy SchechtmanRheumatologyAZ$943.7K241.2K$3.91
Janet LeonRheumatologyKY$941.8K242.6K$3.88
Anupam ChahalRheumatologyCA$922.5K236.4K$3.90
Claude Abujrab-SabaInternal MedicineVA$922.2K235.6K$3.91
Mariam AmeriRheumatologyMD$917.8K238.4K$3.85
Marc HirshRheumatologyFL$902.8K232.0K$3.89

🤔 Is 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) Overpriced?

Based on the data, CPT J0717 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.