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Missouri rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $75.00 / $85.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $78.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $84.38 / $242.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $55.20 / $69.00
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
$60.00 / $160.38 / $2,551.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $62.50 / $72.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $62.50 / $76.44