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Georgia rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.36 / $159.36 / $159.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $159.36 / $159.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.35 / $272.45 / $614.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $182.40 / $182.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $168.00 / $329.28
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $229.00 / $355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $202.46