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Lurbinectedin Injection

Illinois rates for HCPCS J9223 · Zepzelca

Injection, lurbinectedin, 0.1 mg

Rates data updated July 2026.

How much does Zepzelca (lurbinectedin) cost?

$214per 0.1 mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $214 for each 0.1 mg of this drug. The price depends on where it is billed: about $214 from a physician practice, and about $316 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 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$214
At a hospital outpatient department
$316

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$214$214 to $224
FacilityA hospital or hospital-owned outpatient department$316$214 to $372

How much rates vary

Facilitymedian $316 · 10th to 90th $214 to $437Professionalmedian $214 · 10th to 90th $214 to $275
$200$500$1K$2Kfacility $316professional $214

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
$213.80
Median
$309.03
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$741.31
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$537.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$234.42

Where Illinois sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 20th of 51

$214

IA $234DC $214

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.