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Pennsylvania rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $17 · 10th–90th $8$520%10%20%10th90th$17Professionalmedian $7 · 10th–90th $7$220%50%10th90th$7$1.0$10.0$100.0$1.0K$10.0K

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
$8.13 / $17.38 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $18.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $8.13 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $12.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $17.38 / $51.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.42 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.50 / $52.48
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $33.88 / $58.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $22.91 / $26.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.91 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $18.20