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Omacetaxine Mepesuccinate Injection

Pennsylvania rates for HCPCS J9262

Injection, omacetaxine mepesuccinate, 0.01 mg

Rates data updated July 2026.

How much does Omacetaxine Mepesuccinate Injection cost?

$3.89per 0.01 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3.89 for each 0.01 mg of this drug. The price depends on where it is billed: about $3.89 from a physician practice, and about $5.75 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 0.01 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$3.89
At a hospital outpatient department
$5.75

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$3.89$3.80 to $3.89
FacilityA hospital or hospital-owned outpatient department$5.75$5.37 to $8.51

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $11Professionalmedian $4 · 10th to 90th $4 to $4
$5$10$20$50facility $6professional $4

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
$3.89
Median
$5.75
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$4.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$13.49
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$12.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$10.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$5.75
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$30.20
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$4.27
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.68

Where Pennsylvania 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.

Pennsylvania· 25th of 51

$3.89

NY $4.17NE $3.72

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.