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Glatiramer Injection

Wisconsin rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $60$6030%20%10th90th$102Professionalmedian $63 · 10th–90th $60$4,7860%20%10th90th$63$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$3,090.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$1,778.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$165.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$1,778.28
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,801.89
Typical High
$5,248.07
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$2,570.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$1,905.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$87.10