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Mississippi rates for HCPCS J1428

Inj, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.44 / $230.40 / $230.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $163.19 / $230.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $160.00 / $204.80