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Illinois rates for HCPCS J1428

Inj, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $288.00 / $514.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $153.60 / $191.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.26 / $590.28 / $2,564.35
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.66 / $188.20 / $227.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.64 / $155.64 / $159.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $169.76