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California rates for HCPCS J1595

Injection Glatiramer Acetate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.25 / $150.00 / $165.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $62.25 / $106.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $108.04 / $242.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $63.75 / $185.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $73.50 / $190.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $62.25 / $154.38
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 / $63.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $775.00 / $1,117.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,199.84 / $2,551.37 / $2,813.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $89.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $400.36 / $3,670.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $160.81