go back

Kansas rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $192.00 / $192.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $153.60 / $192.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.08 / $194.21 / $211.73
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $192.00 / $229.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $188.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $188.16