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Missouri rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Facilitymedian $76 · 10th–90th $56–$3550%20%10th90th$76Professionalmedian $62 · 10th–90th $56–$870%50%10th90th$62$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $162.18 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $77.62