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Wyoming rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10