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Eteplirsen Injection

Maine rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated October 2026.

How much does Exondys 51 (eteplirsen) cost?

$162per 10 mg

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $162 for each 10 mg of this drug. Most negotiated rates run $162 to $209.

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
$162

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $209 · 10th to 90th $162 to $468Professionalmedian $162 · 10th to 90th $158 to $234
$200$500facility $209professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$162.18
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$162.18
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$281.84

Where Maine sits

The same service costs 1.7 times more in Arizona than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 15th of 51

$162

AZ $269MS $158

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.