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Georgia rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.25 / $62.25 / $62.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.25 / $62.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $110.12 / $248.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $71.25 / $252.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $65.63 / $128.63
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
$58.65 / $114.04 / $114.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $109.38