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Ohio rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $155.25 / $249.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $166.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $121.31 / $250.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $77.78 / $124.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.45 / $1,414.45 / $2,333.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.45 / $1,414.45 / $1,414.45
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 / $92.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $92.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.64 / $205.27 / $238.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $81.88