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Nationwide rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Facilitymedian $219 · 10th–90th $158$4790%20%10th90th$219Professionalmedian $158 · 10th–90th $151$1910%50%10th90th$158$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $158.49 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $162.18 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $190.55