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Tennessee rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.25 / $80.93 / $123.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.25 / $62.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $69.00
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 / $63.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,199.84 / $2,551.37 / $2,813.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $62.50 / $129.16