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Alabama rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $63.75 / $106.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $135.22 / $181.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $126.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $62.50