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Eteplirsen Injection

Oregon 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 Oregon, 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 $219 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
$219

The same drug, in the same amount, costs 38% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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 $162
FacilityA hospital or hospital-owned outpatient department$219$170 to $380

How much rates vary

Facilitymedian $219 · 10th to 90th $162 to $417Professionalmedian $158 · 10th to 90th $158 to $162
$100.0$200.0$500.0facility $219professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$338.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$251.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Oregon 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.

Oregon $162 · 15th 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.