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Cladribine Injection

Montana rates for HCPCS J9065

Injection, cladribine, per 1 mg

Rates data updated July 2026.

How much does Cladribine Injection cost?

$10.00per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $10.00 for each mg of this drug. The price depends on where it is billed: about $9.55 from a physician practice, and about $20.89 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
$9.55
At a hospital outpatient department
$20.89

The same drug, in the same amount, costs 119% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$8.71 to $12.59
FacilityA hospital or hospital-owned outpatient department$20.89$16.60 to $41.69

How much rates vary

Facilitymedian $21 · 10th to 90th $7 to $59Professionalmedian $10 · 10th to 90th $9 to $33
$10$100$1K$10K$100Kfacility $21professional $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
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$12.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$41.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$41.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$24.55
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$14.45

Where Montana sits

Rates are fairly even across states for this service. 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.

Montana· 2nd of 51

$10.00

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.