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Certolizumab Pegol Injection

Vermont rates for HCPCS J0717 · Cimzia

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)

Rates data updated July 2026.

How much does Cimzia (certolizumab pegol) cost?

$4.47

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $4.47 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $4.47 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$3.80 to $5.62
FacilityA hospital or hospital-owned outpatient department$4.47$4.47 to $4.47

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $6 · 10th to 90th $4 to $6
$5facility $4professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.62
Typical High
$6.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.47
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.47
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$8.13

Where Vermont sits

The same service costs 5.0 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 23rd of 51

$4.47

WY $19.05WV $3.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.