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Ohio rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $323.59 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $162.18 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $309.03 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $165.96 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $257.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $257.04
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $173.78