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Washington rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $163.19 / $163.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $297.60 / $672.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $264.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $652.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $345.60 / $528.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.84 / $172.80 / $192.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $167.77 / $418.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $192.00