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Eteplirsen Injection

Iowa rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated July 2026.

How much does Exondys 51 (eteplirsen) cost?

$166per 10 mg

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $166 for each 10 mg of this drug. The price depends on where it is billed: about $191 from a physician practice, and about $158 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$191
At a hospital outpatient department
$158

The same drug, in the same amount, costs 17% less at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$155 to $191
FacilityA hospital or hospital-owned outpatient department$158$158 to $191

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $191Professionalmedian $191 · 10th to 90th $155 to $200
$1.0$10.0$100.0$1.0Kfacility $158professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$190.55
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Iowa sits

The same service costs 1.7 times more in Colorado than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $166 · 11th of 51
CO $263NE $155

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.