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New Jersey rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $89.89 / $155.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $62.25 / $63.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.65 / $69.00 / $75.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.62 / $347.57 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.95 / $183.95 / $194.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $76.59