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Lurbinectedin Injection

Montana rates for HCPCS J9223 · Zepzelca

Injection, lurbinectedin, 0.1 mg

Rates data updated July 2026.

How much does Zepzelca (lurbinectedin) cost?

$224per 0.1 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $224 for each 0.1 mg of this drug. The price depends on where it is billed: about $214 from a physician practice, and about $234 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
$234

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $251
FacilityA hospital or hospital-owned outpatient department$234$214 to $275

How much rates vary

Facilitymedian $234 · 10th to 90th $209 to $575Professionalmedian $214 · 10th to 90th $214 to $269
$100$1K$10K$100Kfacility $234professional $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
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$426.58
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$389.05
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$251.19
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42

Where Montana 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.

Montana· 4th of 51

$224

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.