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Eteplirsen Injection

Iowa rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated October 2026.

How much does Exondys 51 (eteplirsen) cost?

$158per 10 mg

Typical negotiated rate. In Iowa, October 2026.

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

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
$158

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$158 to $174
FacilityA hospital or hospital-owned outpatient department$158$158 to $191

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $191Professionalmedian $158 · 10th to 90th $155 to $191
$1$5$20$100$500facility $158professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$162.18
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$81.28
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$32.36
Typical High
$38.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$24.55
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.49
Median
$16.22
Typical High
$19.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$169.82
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$1.00
Median
$190.55
Typical High
$831.76
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$190.55
Midlands
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Wellmark
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Iowa sits

The same service costs 1.7 times more in Arizona than in Mississippi. 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.

Iowa· 42nd of 51

$158

AZ $269MS $158

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.