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Vermont rates for HCPCS J1595

Injection Glatiramer Acetate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $106.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $62.50 / $182.99