Last Updated: April 1st, 2024



HCPCS Code Descriptor:

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)

Medicare Payment Limit:

The CIMZIA Medicare Payment Limit is $4.624

Average Sale Price:

CIMZIA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The CIMZIA Medicare Co-insurance percentage is 20%. CIMZIA's Medicare Co-insurance amount is $0.92 per HCPCS unit.

APC Code:

The Cimzia APC Code is: 1474

APC Payment Limit:

The APC Payment Limit for CIMZIA is available. Login to view.

Cimzia Cost Information:

Cimzia's HCPCS code is J0717. It was added and became effective on January 1, 2014. From January 2016 to December 2017, Cimzia's AWP followed a predictable trend, with slight price increases every six months. Between January 2018 and January 2024, the time between price increases lengthened, and the AWP saw slightly higher price increases once per year in January. The WAC followed the same trend as the AWP, with price increases every six months between January 2016 to December 2017, and yearly increases between January 2018 and January 2024. Between January 2016 and September 2017, the ASP fluctuate monthly, but followed a general upward trend. From September 2017 to June 2021, aside from slight fluctuations, the ASP remained at a fairly consistent level before a steep drop in July 2021. Since July 2021, the ASP has been slowly dropping in price. There is also a considerable gap between the ASP and the WAC, with the ASP ranging from 24% to 68% lower than the WAC.


Cimzia’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Cimzia’s average wholesale price (AWP) information was last updated on:
January 1, 2024