HCPCS J1595
Injection, glatiramer acetate, 20 mg
Current codeInjection - Immunomodulator32 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $62.50 – $92.59 | — | — |
| Deaconess Medical Center | $57.18 – $60.55 | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $59.00 – $64.01 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | — | — |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Covington Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | — | — |
| MultiCare Valley Hospital | $56.78 – $60.12 | — | — |
| Olympic Medical Center | $73.10 – $80.06 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth Southwest Medical Cente | — | $116 – $531 | $178 – $817 |
| PeaceHealth St John Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth St Joseph Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth United General Medical Center | — | $116 – $531 | $178 – $817 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $435 – $621 | $621 – $887 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $435 – $621 | $621 – $887 |
| Providence Regional Medical Center Everett | — | $145 | $278 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $141 | $276 |
| Yakima Valley Memorial | $56.80 – $65.99 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.