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Casimersen Injection

Michigan rates for HCPCS J1426 · Amondys 45

Injection, casimersen, 10 mg

Rates data updated July 2026.

How much does Amondys 45 (casimersen) cost?

$158per 10 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $158 for each 10 mg of this drug. The price depends on where it is billed: about $155 from a physician practice, and about $269 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$155
At a hospital outpatient department
$269

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 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$155$155 to $162
FacilityA hospital or hospital-owned outpatient department$269$174 to $427

How much rates vary

Facilitymedian $269 · 10th to 90th $155 to $427Professionalmedian $155 · 10th to 90th $155 to $245
$200$500facility $269professional $155

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
$154.88
Median
$269.15
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$426.58
Typical High
$549.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$177.83

Where Michigan sits

The same service costs 1.7 times more in Colorado than in Nebraska. 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.

Michigan· 38th of 51

$158

CO $263NE $155

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.