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Illinois rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $13 · 10th–90th $7–$440%10%20%10th90th$13Professionalmedian $7 · 10th–90th $7–$370%50%10th90th$7$5.0$20.0$100.0$500.0$2.0K

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 / $11.22 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $15.85
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $66.07 / $112.20
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $12.88
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 / $8.32 / $17.78