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Arizona rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Facilitymedian $158 · 10th–90th $66$3630%10%10th90th$158Professionalmedian $62 · 10th–90th $60$760%20%40%10th90th$62$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $234.42 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10