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Eteplirsen Injection

Nebraska rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated October 2026.

How much does Exondys 51 (eteplirsen) cost?

$158per 10 mg

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $158 for each 10 mg of this drug. The price depends on where it is billed: about $158 from a physician practice, and about $191 from a hospital or other facility.

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
$158
At a hospital outpatient department
$191

The same drug, in the same amount, costs 20% more at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$158 to $158
FacilityA hospital or hospital-owned outpatient department$191$166 to $309

How much rates vary

Facilitymedian $191 · 10th to 90th $155 to $832Professionalmedian $158 · 10th to 90th $151 to $191
$200$500facility $191professional $158

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$190.55
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$162.18
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$295.12
Typical High
$831.76
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$158.49
Typical High
$190.55

Where Nebraska 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.

Nebraska· 41st of 51

$158

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.