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Iowa rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $12 · 10th–90th $8–$420%20%10th90th$12Professionalmedian $8 · 10th–90th $7–$420%20%40%10th90th$8$1.0$5.0$20.0$100.0

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
$7.41 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $15.85
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $69.18 / $112.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.79 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.72 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.14 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.49 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $13.49
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.75
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $11.75