go back

Connecticut rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $250.22 / $536.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.70 / $243.23 / $479.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $160.00 / $176.64