HCPCS J1595
Injection, glatiramer acetate, 20 mg
Current codeInjection - Immunomodulator32 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| 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 | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | $117 – $176 | $141 | $276 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.