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Massachusetts rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Facilitymedian $209 · 10th–90th $162–$3800%20%10th90th$209Professionalmedian $162 · 10th–90th $151–$2450%50%10th90th$162$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $162.18 / $190.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $831.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $346.74 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $245.47
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $275.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $831.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $165.96 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $169.82