HCPCS J1595

Injection, glatiramer acetate, 20 mg

Current codeInjection - Immunomodulator32 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J1595 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$435 – $621	$621 – $887
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$435 – $621	$621 – $887
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$145	$278
Virginia Mason Medical CenterSeattle	—	$141	$276

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.