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Cladribine Injection

Ohio rates for HCPCS J9065

Injection, cladribine, per 1 mg

Rates data updated July 2026.

How much does Cladribine Injection cost?

$8.71per mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8.71 for each mg of this drug. The price depends on where it is billed: about $8.71 from a physician practice, and about $18.62 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
$8.71
At a hospital outpatient department
$18.62

The same drug, in the same amount, costs 114% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$8.71$8.71 to $10.47
FacilityA hospital or hospital-owned outpatient department$18.62$11.75 to $21.88

How much rates vary

Facilitymedian $19 · 10th to 90th $9 to $26Professionalmedian $9 · 10th to 90th $9 to $14
$0.1$1.0$10.0$100.0facility $19professional $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
$8.71
Median
$19.05
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$11.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$16.22
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$15.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$17.38
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$19.50
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$17.38
Typical High
$85.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$13.49
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$15.85

Where Ohio 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.

Ohio $8.71 · 25th 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.