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Cladribine Injection

Illinois rates for HCPCS J9065

Injection, cladribine, per 1 mg

Rates data updated October 2026.

How much does Cladribine Injection cost?

$8.32per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $8.32 for each mg of this drug. The price depends on where it is billed: about $8.32 from a physician practice, and about $20.42 from a hospital or other facility.

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
$8.32
At a hospital outpatient department
$20.42

The same drug, in the same amount, costs 145% more at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$8.13 to $9.77
FacilityA hospital or hospital-owned outpatient department$20.42$12.30 to $66.07

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $81Professionalmedian $8 · 10th to 90th $8 to $11
$10$20$50$100facility $20professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$9.77
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.07
Median
$4.07
Typical High
$4.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.62
Median
$1.62
Typical High
$1.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.81
Median
$0.81
Typical High
$0.83
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$69.18
Typical High
$87.10
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$16.22
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.79
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Molina
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$10.96
Typical High
$12.88
United
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$9.55
Typical High
$10.47

Where Illinois sits

The same service costs 1.9 times more in Wyoming than in Georgia. 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.

Illinois· 35th of 51

$8.32

WY $15.49GA $8.13

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.