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Washington, DC rates for HCPCS J1595

Injection Glatiramer Acetate

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
$63.75 / $63.75 / $63.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $67.67 / $67.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,808.24 / $3,808.24 / $3,808.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $62.50 / $101.30