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See a sample rate comparisonHCPCS J1595 (Copaxone) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, glatiramer acetate, 20 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | 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
$68.87
$70.76
$83.71
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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 HCPCS J1595 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J1595 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| 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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