Golodirsen injection, per 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

GOLODIRSEN 50 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1429

Payer pricing summary

Low

$154

Average

$1.8k

Median

$606

High

$8.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	383	$317	$433	$1.6k	360%	—	$83 – $22.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	191	$322	$424	$244	58%	—	$1 – $1.1k
3	Cigna fee schedule · outpatient · +12 other terms	182	$306	$494	$342	69%	—	$149 – $1.4k
4	Aetna fee schedule · outpatient · +15 other terms	111	$289	$721	$2.8k	388%	—	$130 – $22.7k
5	Anthem fee schedule · outpatient · +14 other terms	65	$249	$870	$3.6k	412%	—	$160 – $22.7k
6	Molina facility · case rate · outpatient · +11 other terms	32	$12.6k	$11.3k	$6.0k	53%	—	$163 – $23.8k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$690	$627	$209	33%	—	$257 – $1.1k
8	Caresource fee schedule · outpatient · +4 other terms	23	$168	$171	$6	4%	—	$168 – $188
9	Humana fee schedule · outpatient · +12 other terms	21	$498	$4.2k	$8.7k	205%	—	$154 – $23.8k
10	Aetna Better Health fee schedule · outpatient · +7 other terms	17	$173	$170	$12	7%	—	$158 – $188
11	MultiPlan fee schedule · outpatient · +6 other terms	14	$280	$280	—	—	—	$280 – $280
12	Optum facility · case rate · outpatient · +4 other terms	13	$11.7k	$12.9k	$3.0k	23%	—	$10.1k – $19.8k
13	Wellmark fee schedule · both · +2 other terms	13	$160	$160	—	—	—	$160 – $160
14	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$159	$159	—	—	—	$159 – $159
15	Highmark fee schedule · outpatient · +5 other terms	12	$180	$180	$4	2%	—	$163 – $210
16	Medica fee schedule · outpatient · +4 other terms	10	$334	$337	$84	25%	—	$203 – $432
17	Kaiser fee schedule · outpatient · +6 other terms	9	$770	$741	$250	34%	—	$343 – $1.3k
18	Ucare fee schedule · both · +3 other terms	9	$157	$157	$4	3%	—	$153 – $163
19	WellCare facility · fee schedule · outpatient · +4 other terms	9	$233	$233	—	—	—	$233 – $233
20	Bcbs Mn fee schedule · both · +2 other terms	8	$168	$168	$5	3%	—	$163 – $174
21	Premera fee schedule · outpatient · +1 other terms	8	$266	$266	—	—	—	$266 – $266
22	Regence fee schedule · outpatient · +3 other terms	8	$167	$225	$92	41%	—	$149 – $415
23	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$11.6k	$11.8k	$370	3%	—	$11.6k – $12.7k
24	Bcbs La fee schedule · outpatient · +1 other terms	6	$173	$173	—	—	—	$173 – $173
25	Excellus facility · fee schedule · outpatient	5	$263	$294	$175	60%	—	$170 – $748

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