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Lurbinectedin Injection

South Carolina 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 South Carolina, 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 $229 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
$229

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$229$209 to $302

How much rates vary

Facilitymedian $229 · 10th to 90th $191 to $437Professionalmedian $214 · 10th to 90th $209 to $251
$200$500$1Kfacility $229professional $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
$223.87
Median
$288.40
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$213.80
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$512.86
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$234.42

Where South Carolina 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.

South Carolina· 49th 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.