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Glatiramer Injection

Wisconsin rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Rates data updated October 2026.

How much does Glatiramer Injection cost?

$63.10per 20 mg

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $63.10 for each 20 mg of this drug. The price depends on where it is billed: about $63.10 from a physician practice, and about $135 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$63.10
At a hospital outpatient department
$135

The same drug, in the same amount, costs 114% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$63.10 to $74.13
FacilityA hospital or hospital-owned outpatient department$135$85.11 to $191

How much rates vary

Facilitymedian $135 · 10th to 90th $60 to $195Professionalmedian $63 · 10th to 90th $60 to $85
$50$100$200facility $135professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$30.20
Typical High
$416.87
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.02
Typical High
$169.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.91
Median
$8.91
Typical High
$125.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.03
Median
$6.03
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$169.82
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$93.33
DeanCare
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$91.20
DeanCare
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$162.18
Medica
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$87.10
Network Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$165.96
Typical High
$165.96
Prevea360
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$91.20
Prevea360
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Quartz
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$194.98
Typical High
$194.98
Quartz
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$85.11

Where Wisconsin sits

The same service costs 3.2 times more in Kansas than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 38th of 51

$63.10

KS $182AR $57.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.