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Cladribine Injection

Iowa rates for HCPCS J9065

Injection, cladribine, per 1 mg

Rates data updated July 2026.

How much does Cladribine Injection cost?

$9.77per mg

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $9.77 for each mg of this drug. The price depends on where it is billed: about $9.77 from a physician practice, and about $9.77 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$9.77
At a hospital outpatient department
$9.77

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 8 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$9.77$8.71 to $41.69
FacilityA hospital or hospital-owned outpatient department$9.77$9.55 to $41.69

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $42Professionalmedian $10 · 10th to 90th $9 to $42
$1.0$5.0$20.0$100.0facility $10professional $10

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.91
Typical High
$15.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$69.18
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$45.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.72
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$54.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.71
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$14.45
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$9.55

Where Iowa sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $9.77 · 3rd of 51
NY $12.30MS $8.71

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.