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Glatiramer Injection

New Hampshire rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Rates data updated July 2026.

How much does Glatiramer Injection cost?

$63.10per 20 mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $63.10 for each 20 mg of this drug. The price depends on where it is billed: about $63.10 from a physician practice, and about $95.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$63.10
At a hospital outpatient department
$95.50

The same drug, in the same amount, costs 51% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$63.10 to $75.86
FacilityA hospital or hospital-owned outpatient department$95.50$70.79 to $132

How much rates vary

Facilitymedian $95 · 10th to 90th $63 to $229Professionalmedian $63 · 10th to 90th $63 to $117
$100$200facility $95professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$162.18

Where New Hampshire sits

The same service costs 41.7 times more in Montana than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 19th of 51

$63.10

MT $2,512NC $60.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.