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Mississippi rates for HCPCS J1595

Injection Glatiramer Acetate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $90.00 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $63.75 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $51.75 / $51.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $74.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.50 / $81.25