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Kentucky rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $127.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $62.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.75 / $79.76 / $125.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $119.07 / $119.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.66 / $1,406.01 / $2,450.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.37 / $1,361.66 / $2,096.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $63.75 / $118.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $62.50