go back

Minnesota rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.25 / $75.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.56 / $257.02 / $407.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $183.95 / $183.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.49 / $224.55 / $273.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $82.72 / $89.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.56 / $204.92 / $257.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $70.50 / $95.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $126.75 / $2,307.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $112.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $115.88