How much does Cladribine Injection cost?

$8.71per mg

Typical negotiated rate. In Vermont, 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 $12.02 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.

Amount givenmg

In a doctor's office or clinic: $8.71
At a hospital outpatient department: $12.02

The same drug, in the same amount, costs 38% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$8.71	$8.71 to $9.33
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$12.02	$12.02 to $12.02

How much rates vary

Facilitymedian $12 · 10th to 90th $10 to $12Professionalmedian $9 · 10th to 90th $9 to $12

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $8.71 Median $8.71 Typical High $12.02	Professional	Global	$8.71	$8.71	$12.02
BCBS Setting Facility Modifier Global Typical Low $12.02 Median $12.02 Typical High $12.02	Facility	Global	$12.02	$12.02	$12.02
Cigna Setting Facility Modifier Global Typical Low $9.77 Median $12.02 Typical High $12.02	Facility	Global	$9.77	$12.02	$12.02
Cigna Setting Professional Modifier Global Typical Low $8.71 Median $8.71 Typical High $12.02	Professional	Global	$8.71	$8.71	$12.02
MVP Health Care Setting Professional Modifier Global Typical Low $18.20 Median $18.20 Typical High $31.62	Professional	Global	$18.20	$18.20	$31.62
United Setting Facility Modifier Global Typical Low $8.32 Median $8.32 Typical High $8.32	Facility	Global	$8.32	$8.32	$8.32
United Setting Professional Modifier Global Typical Low $7.41 Median $8.71 Typical High $22.39	Professional	Global	$7.41	$8.71	$22.39

Where Vermont 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.

Vermont $8.71 · 50th 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.