go back

Cladribine Injection

North Carolina rates for HCPCS J9065

Injection, cladribine, per 1 mg

Rates data updated July 2026.

How much does Cladribine Injection cost?

$9.55per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.55 for each mg of this drug. The price depends on where it is billed: about $9.12 from a physician practice, and about $23.99 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
$9.12
At a hospital outpatient department
$23.99

The same drug, in the same amount, costs 163% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$9.12$8.71 to $26.30
FacilityA hospital or hospital-owned outpatient department$23.99$14.45 to $38.02

How much rates vary

Facilitymedian $24 · 10th to 90th $7 to $52Professionalmedian $9 · 10th to 90th $9 to $35
$5.0$10.0$20.0$50.0$100.0$200.0facility $24professional $9

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
$18.62
Median
$34.67
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.14
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$41.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$20.89
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$15.49
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$134.90
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58

Where North Carolina 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.

North Carolina $9.55 · 7th 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.