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Florida rates for HCPCS J1595

Injection Glatiramer Acetate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $62.25 / $171.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.25 / $63.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $180.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.65 / $43.32 / $63.75
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.95 / $183.95 / $183.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $109.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $57.50