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Glatiramer Injection

New Hampshire rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $63$2290%10%20%10th90th$95Professionalmedian $63 · 10th–90th $63$1170%50%90th$63$100.0$200.0$500.0$1.0K

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
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