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Kansas rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $63.20 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $75.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.07 / $218.90 / $239.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.95 / $183.95 / $183.95
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.14 / $75.00 / $160.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $106.25