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Massachusetts rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.79 / $433.46 / $6,524.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $62.50 / $182.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.45 / $90.92 / $193.80
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $253.42 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $132.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,199.84 / $2,199.84 / $2,551.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $182.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $182.99