Casimersen injection, 10 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Injection, casimersen, 10 mg

Payers reporting HCPCS J1426

Payer pricing summary

Low

$87

Average

$1.2k

Median

$258

High

$16.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	483	$274	$368	$1.4k	373%	—	$83 – $22.7k
2	Aetna fee schedule · outpatient · +14 other terms	285	$169	$458	$2.0k	432%	—	$91 – $22.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	256	$266	$362	$230	63%	—	$91 – $1.1k
4	Cigna fee schedule · outpatient · +14 other terms	249	$234	$435	$331	76%	—	$149 – $1.4k
5	Humana fee schedule · outpatient · +12 other terms	143	$166	$694	$3.5k	501%	—	$151 – $23.8k
6	Anthem fee schedule · outpatient · +12 other terms	88	$223	$697	$3.0k	430%	—	$160 – $22.7k
7	Molina facility · fee schedule · outpatient · +12 other terms	70	$169	$289	$899	311%	—	$87 – $7.4k
8	WellCare fee schedule · outpatient · +5 other terms	66	$169	$171	$13	8%	—	$155 – $223
9	Kaiser fee schedule · outpatient · +8 other terms	56	$208	$293	$211	72%	—	$133 – $1.3k
10	Devoted fee schedule · outpatient · +3 other terms	47	$166	$163	$8	5%	—	$151 – $178
11	Caresource fee schedule · outpatient · +5 other terms	45	$183	$219	$234	107%	—	$166 – $1.8k
12	Ambetter fee schedule · outpatient · +4 other terms	39	$299	$309	$60	19%	—	$143 – $449
13	Optum fee schedule · outpatient · +5 other terms	33	$163	$216	$95	44%	—	$147 – $477
14	Bcbs Tx fee schedule · outpatient	30	$690	$627	$209	33%	—	$257 – $1.1k
15	Aetna Better Health fee schedule · outpatient · +8 other terms	22	$166	$168	$10	6%	—	$158 – $188
16	Oscar facility · fee schedule · outpatient · +3 other terms	21	$249	$260	$37	14%	—	$219 – $308
17	Regence facility · fee schedule · outpatient · +3 other terms	20	$173	$202	$75	37%	—	$141 – $416
18	Medicare fee schedule · outpatient · +1 other terms	19	$163	$163	$0	0%	—	$162 – $163
19	Highmark fee schedule · outpatient · +7 other terms	16	$180	$182	$23	13%	—	$163 – $364
20	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$166	$220	$115	52%	—	$90 – $661
21	MultiPlan fee schedule · outpatient · +7 other terms	14	$280	$280	—	—	—	$280 – $280
22	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$169	$167	$2	1%	—	$163 – $169
23	Wellmark fee schedule · both · +3 other terms	13	$160	$160	—	—	—	$160 – $160
24	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$159	$159	—	—	—	$159 – $159
25	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$174	$174	—	—	—	$174 – $174

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