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Minnesota rates for HCPCS J1428

Inj, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $192.00 / $192.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $159.36 / $192.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.48 / $234.87 / $378.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.56 / $163.19 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.60 / $187.31 / $491.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.61 / $187.75 / $203.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $160.00 / $161.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.01 / $170.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $192.00 / $324.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $220.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $290.05