go back

New York rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $10 · 10th–90th $7$210%20%10th90th$10Professionalmedian $12 · 10th–90th $7$180%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $9.55 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.72 / $29.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $13.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $10.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $18.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $10.96