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Connecticut rates for HCPCS J1595

Injection Glatiramer Acetate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $95.75 / $209.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $104.15 / $239.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $63.75
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.95 / $183.95 / $183.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.25 / $62.50 / $198.06