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Eteplirsen Injection

South Carolina rates for HCPCS J1428 · Exondys 51

Injection, eteplirsen, 10 mg

Rates data updated October 2026.

How much does Exondys 51 (eteplirsen) cost?

$178per 10 mg

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $178 for each 10 mg of this drug. The price depends on where it is billed: about $162 from a physician practice, and about $257 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
$162
At a hospital outpatient department
$257

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$158 to $162
FacilityA hospital or hospital-owned outpatient department$257$204 to $302

How much rates vary

Facilitymedian $257 · 10th to 90th $158 to $427Professionalmedian $162 · 10th to 90th $158 to $162
$100$200$500facility $257professional $162

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$257.04
Typical High
$436.52
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$208.93
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$190.55
Typical High
$213.80
Medcost
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Molina
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$204.17
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$177.83

Where South Carolina 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.

South Carolina· 6th of 51

$178

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.