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North Carolina rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $219.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $163.19 / $191.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.54 / $254.02 / $332.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.12 / $165.12 / $165.12
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 / $192.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $172.99 / $211.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.40 / $182.40 / $182.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $248.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $192.00 / $837.25