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Casimersen Injection

New Jersey rates for HCPCS J1426 · Amondys 45

Injection, casimersen, 10 mg

Rates data updated July 2026.

How much does Amondys 45 (casimersen) cost?

$162per 10 mg

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $162 for each 10 mg of this drug. The price depends on where it is billed: about $158 from a physician practice, and about $245 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
$158
At a hospital outpatient department
$245

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$158$158 to $162
FacilityA hospital or hospital-owned outpatient department$245$209 to $363

How much rates vary

Facilitymedian $245 · 10th to 90th $166 to $10,715Professionalmedian $158 · 10th to 90th $155 to $240
$200$500$1K$2K$5K$10K$20Kfacility $245professional $158

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
$208.93
Median
$245.47
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$181.97

Where New Jersey 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.

New Jersey· 34th of 51

$162

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.