Injection of eteplirsen, 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

ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1428

Payer pricing summary

Low

$10

Average

$2.4k

Median

$1.3k

High

$14.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	479	$276	$384	$1.4k	367%	—	$85 – $22.7k
2	Aetna fee schedule · outpatient · +18 other terms	281	$171	$612	$2.8k	460%	—	$130 – $26.7k
3	Cigna fee schedule · outpatient · +16 other terms	254	$235	$460	$612	133%	—	$149 – $12.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	248	$269	$400	$599	150%	—	$114 – $12.6k
5	Humana fee schedule · outpatient · +16 other terms	178	$170	$927	$3.4k	364%	—	$152 – $26.7k
6	Anthem facility · fee schedule · outpatient · +13 other terms	95	$174	$2.3k	$6.4k	280%	—	$21 – $46.4k
7	Molina facility · fee schedule · outpatient · +15 other terms	70	$170	$289	$895	310%	—	$88 – $7.4k
8	WellCare fee schedule · outpatient · +10 other terms	65	$171	$172	$12	7%	—	$156 – $225
9	Kaiser fee schedule · outpatient · +7 other terms	54	$209	$298	$216	72%	—	$134 – $1.3k
10	Devoted fee schedule · outpatient · +5 other terms	47	$167	$165	$8	5%	—	$152 – $179
11	Caresource fee schedule · outpatient · +6 other terms	44	$184	$185	$34	18%	—	$167 – $326
12	Ambetter fee schedule · outpatient · +4 other terms	39	$301	$307	$58	19%	—	$143 – $452
13	Optum fee schedule · outpatient · +9 other terms	33	$164	$504	$1.7k	336%	—	$149 – $10.2k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$693	$630	$210	33%	—	$258 – $1.1k
15	Aetna Better Health fee schedule · outpatient · +9 other terms	22	$166	$166	$9	5%	—	$158 – $188
16	Oscar facility · fee schedule · outpatient · +6 other terms	20	$251	$260	$37	14%	—	$221 – $310
17	Medicare fee schedule · outpatient · +4 other terms	18	$164	$164	—	—	—	$164 – $164
18	Regence facility · fee schedule · outpatient · +5 other terms	17	$174	$175	$11	7%	—	$142 – $207
19	Highmark fee schedule · outpatient · +7 other terms	16	$180	$183	$24	13%	—	$163 – $367
20	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$168	$222	$116	52%	—	$91 – $666
21	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$186	$180	$48	27%	—	$99 – $239
22	Wellmark fee schedule · both · +6 other terms	13	$160	$160	—	—	—	$160 – $160
23	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$159	$159	—	—	—	$159 – $159
24	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$176	$176	—	—	—	$176 – $176
25	Clover fee schedule · outpatient · +3 other terms	12	$171	$170	$11	7%	—	$158 – $187

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