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Eteplirsen Injection

Wisconsin rates for HCPCS J1428

Injection, eteplirsen, 10 mg

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $155$3800%10%20%10th90th$191Professionalmedian $158 · 10th–90th $155$1910%50%10th90th$158$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$204.17
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Quartz
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$831.76
Quartz
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
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$218.78