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See a sample rate comparisonHCPCS J1595 (Copaxone) Fee Schedule
HCPCS J1595 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, glatiramer acetate, 20 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | $61.46 median of the 8 states in the free preview · View Medicaid rates for J1595 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00378-6960-93 - GLATIRAMER ACETATE 20 MG/1 ML • 00378-6961-12 - GLATIRAMER ACETATE 40 MG/1 ML • 00781-3250-89 - GLATOPA 40 MG/1 ML • 47335-0990-02 - GLATIRAMER ACETATE ONCE DAILY 20 MG/1 ML • 47335-0991-02 - GLATIRAMER ACETATE THREE TIMES A WEEK 40 MG/1 ML |
National average reimbursement for HCPCS J1595 by major payers:
$105.37
BCBS / Anthem
$68.87
UnitedHealthcare
$70.76
Aetna
$83.71
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J1595.
HCPCS J1595
5 of 25 sample ratesHigher to lower in this preview
Qhg Of Springdale Inc, Northwest Medical Center -- Bentonville
$171.57Published rateCleveland Clinic Value Based Organization
Cleveland Clinic Support Services
$81.65Published rateJason Raggi
Physician Affiliate Group Of New York PC
$60.95Published rateBeaver Valley Hospital
$57.50Published rateAtlantic General Hospital Corporation, Atlantic General Hospital Corp
Atlantic General Hospital
$54.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1595 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J1595. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00378-6960-93-NDC | Moderate | GLATIRAMER ACETATE 20 MG/1 ML |
| 00378-6961-12-NDC | Moderate | GLATIRAMER ACETATE 40 MG/1 ML |
| 00781-3250-89-NDC | Moderate | GLATOPA 40 MG/1 ML |
| J1595-HCPCS | Low | Injection, glatiramer acetate, 20 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1595 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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