go back

Melphalan (Evomela) Injection

Pennsylvania rates for HCPCS J9246

Injection, melphalan (Evomela), 1 mg

Rates data updated July 2026.

How much does Evomela (melphalan) cost?

$20.89per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20.89 for each mg of this drug. The price depends on where it is billed: about $19.50 from a physician practice, and about $29.51 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.

mg
In a doctor's office or clinic
$19.50
At a hospital outpatient department
$29.51

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$19.50$19.50 to $21.38
FacilityA hospital or hospital-owned outpatient department$29.51$21.38 to $42.66

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $55Professionalmedian $19 · 10th to 90th $19 to $32
$20$50$100facility $30professional $19

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
$19.50
Median
$30.20
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$42.66
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$67.61
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$33.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$50.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$50.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$27.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$32.36

Where Pennsylvania sits

The same service costs 2.1 times more in Delaware than in Vermont. 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.

Pennsylvania· 23rd of 51

$20.89

DE $41.69VT $19.50

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.