go back

Colorado rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $153.60 / $592.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $153.60 / $153.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.89 / $280.93 / $512.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $153.60 / $227.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $295.00 / $295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00