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Massachusetts rates for HCPCS J1428

Inj, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.12 / $168.12 / $837.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $240.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.72 / $232.74 / $496.13
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $338.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $192.00 / $837.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $240.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $224.01