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Eteplirsen Injection

New Mexico rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Rates data updated July 2026.

How much does Eteplirsen Injection cost?

$162per 10 mg

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $162 for each 10 mg of this drug. The price depends on where it is billed: about $158 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$204

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$158 to $182
FacilityA hospital or hospital-owned outpatient department$204$166 to $275

How much rates vary

Facilitymedian $204 · 10th to 90th $166 to $363Professionalmedian $158 · 10th to 90th $158 to $182
$200.0facility $204professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$181.97
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where New Mexico sits

The same service costs 1.7 times more in Colorado than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $162 · 16th of 51
CO $263NE $155

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.