Price of GLATIRAMER 40 MG/ML Injection at NYU Langone

Last Updated: 2024-07-01

NYU Langone

Hospital Rating:

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About GLATIRAMER 40 MG/ML Injection

Service Codes: LOCAL 5010001, HCPCS J1595

This is a subcutaneous injection used to treat relapsing forms of multiple sclerosis. It helps reduce the frequency of flare-ups and slows the progression of the disease.

Pricing Overview

Cash Price ?

$338.89

Median Price ?

$193.00

Price Range ?

$70.38 - $2,107.32

Insurance Plan Prices

Insurance Provider Plan Type Price
EmblemHealth Essential Plan 1, 200-250 $186.77
Cigna MVP-Cigna Network $535.09
Health Net PPO $1,391.23
EmblemHealth HIP SmartStart $1,302.05
EmblemHealth Healthcare Partners Essential Plan 4 $155.64
EmblemHealth CMO Essential Plan 1 $186.77
Fidelis Care Child Health Plus (CHP) $193.00
HealthSmart WTC Health Program - NYU $141.56
Partners Health Plan Medicare Advantage (Home-based Only) $141.56
Anthem BCBS HealthPlus SOMOS Essential Plan 3 $163.43
EmblemHealth GHI Behavioral Management Program $1,426.90
CenterLight Select $144.39
Healthfirst Platinum Leaf (Exchange) $2,107.32
HealthSmart WTC Health Program - Logistic Health Inc $141.56
Blue Cross Blue Shield HMO $71.50
Blue Cross Blue Shield Blue Connection $71.50
BCBS (Out of State) Medicare (No Suitcase Logo) $141.56
UnitedHealthcare Choice (North Shore - LIJ) $282.44
Blue Cross Blue Shield Healthy New York $71.50
Sedgwick WTC Health Program - Northwell $141.56
MultiPlan Kaiser Permanente $1,391.23
MetroPlus MedPlus $280.28
1199SEIU Funds PPO $395.69
MetroPlus Essential Plan 1 $155.64
BCBS (Out of State) Medicare $141.56
Blue Cross Blue Shield Blue Access HMO (Small Group) $71.50
EmblemHealth GHI Medicare PPO $141.56
CenterLight PACE $144.39
Blue Cross Blue Shield Blue Access gEPO (Small Group) $71.50
EmblemHealth HIP EPO $1,302.05
Fidelis Care Native American (Exchange) $280.16
MultiPlan Humana Health Plan $1,391.23
Blue Cross Blue Shield EPO $71.50
MultiPlan QualCare Inc $1,391.23
Fidelis Care Silver 250 (Exchange) $280.16
EmblemHealth HIP compre health $1,302.05
MultiPlan Paramount Insurance $1,391.23
Aetna Open Access HMO $1,070.18
Healthfirst Bronze Leaf (Exchange) $2,107.32
Cigna NALC PPO $535.09
VNS Health SelectHealth (Medicaid) $111.62
Carelon Behavioral Health Medicare Advantage (Home-based Only) $141.56
Humana All Commercial Plans $1,391.23
EmblemHealth Essential Plan 2 $186.77
Cigna Great West HMO $535.09
Cigna Wellfleet Student $535.09
EmblemHealth American Plan Administrators c/o H.D.A $1,426.90
Blue Cross Blue Shield MediBlue (Medicare Advantage) Select HMO/Extra HMO $141.56
EmblemHealth Healthcare Partners Essential Plan 2 $186.77
Cigna Great West PPO $535.09
Blue Cross Blue Shield UniCare $71.50
BCBS (Out of State) POS (Suitcase Logo) $71.50
BCBS (Out of State) HMO (No Suitcase Logo) $71.50
MultiPlan Fiserv Health $1,391.23
Fidelis Care Essential Plan 1 $79.35
Blue Cross Blue Shield Pathway Enhanced $70.38
Carelon Behavioral Health Medicaid Managed Care (Home-based Only) $111.62
MultiPlan Nippon Life $1,391.23
Riverspring Health Plans Medicare Advantage $141.56
EmblemHealth HIP Access II $1,302.05
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $155.64
VNS Health Total (Medicare + Medicaid) $141.56
UnitedHealthcare WTC Health Program $141.56
UnitedHealthcare - Oxford Metro $233.57
HealthSmart WTC Health Program - Stony Brook $141.56
1199SEIU Funds Member Choice Home Care Select $395.69
EmblemHealth HIP PPO $1,302.05
AgeWell (Deprecated) Medicaid Managed Care $111.62
Blue Cross Blue Shield POS $71.50
MultiPlan Capital District Physicians Health Plan $1,391.23
Blue Cross Blue Shield Global Transplants $71.50
CenterLight Direct $144.39
Healthfirst Personal Wellness Plan (HARP) $111.62
Fidelis Care Silver (Exchange) $280.16
Senior Whole Health All Plans $141.56
Blue Cross Blue Shield Blue Access EPO (Large Group) $71.50
UnitedHealthcare Optum Health $282.44
EmblemHealth Bridge $1,302.05
UnitedHealthcare Student Resources $282.44
MultiPlan PHCS Savility $1,391.23
Healthfirst Essential Plan 1-2, 200-250 $2,107.32
MetroPlus Gold $333.08
AgeWell (Deprecated) Medicare Advantage $141.56
UnitedHealthcare Choice (NY Power Authority) $282.44
HealthSmart WTC Health Program - Northwell $141.56
UnitedHealthcare Medicare Advantage Complete Choice Regional PPO $141.56
Blue Cross Blue Shield Blue Priority PPO $71.50
Fidelis Care Catastrophic (Exchange) $280.16
Three Rivers All Plans (Home-based Only) $1,605.27
MultiPlan PHP Healthcare (Champus) $1,391.23
Cigna Tufts Health Plan $535.09
UnitedHealthcare HMO $282.44
UnitedHealthcare POMCO (UMR) $1,391.23
BCBS (Out of State) PPO $71.50
Blue Cross Blue Shield Open Access HMO (Home-based Only) $71.50
HealthSmart WTC Health Program - Mt. Sinai $141.56
EmblemHealth Healthcare Partners Essential Plan 1-2 $186.77
Maksin Group Consolidated Health Plan (Home-based only) $535.09
EmblemHealth Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) $163.43
UnitedHealthcare EPO $282.44
EmblemHealth HIP Optum Health $1,302.05
EmblemHealth GHI Medicare Supplement $141.56
EmblemHealth HIP Montefiore $1,302.05
Cigna PPO $535.09
Anthem BCBS Empire Plan, Value Options $71.50
BCBS (Out of State) EPO (No Suitcase Logo) $71.50
Blue Cross Blue Shield MediBlue (Medicare Advantage) Select/Extra HMO (HCP) $141.56
Partners Health Plan Medicaid MLTC $111.62
Anthem BCBS HealthPlus SOMOS Child Health Plus (CHP) $163.43
MultiPlan Principal Financial Group $1,391.23
Blue Cross Blue Shield Blue Access gEPO (Large Group) $71.50
Blue Cross Blue Shield Blue Access EPO (Small Group) $71.50
EmblemHealth HIP Access I $1,302.05
EmblemHealth HIP VIP Medicare Bold $141.56
Cigna Open Access $535.09
Cigna Open Access PPO $535.09
Anthem BCBS HealthPlus Essential Plan 3 $155.64
Healthfirst Green Leaf (Exchange) $2,107.32
EmblemHealth CMO Essential Plan 3 $155.64
Healthfirst Essential Plan 2 $2,107.32
EmblemHealth Healthcare Partners Essential Plan 3 $155.64
Anthem BCBS All Plans $71.50
Cigna Open Access HMO $535.09
UnitedHealthcare POS $282.44
MetroPlus Medicaid Managed Care $155.64
UnitedHealthcare Medicare Advantage $141.56
EmblemHealth HIP HMO $1,302.05
UnitedHealthcare AARP Medicare Advantage Complete Mosaic $141.56
UnitedHealthcare - Oxford Freedom $233.57
Carelon Behavioral Health All Exchange Plans (Home-based Only) $141.56
MetroPlus Essential Plan 4 $155.64
EmblemHealth Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) $163.43
1199SEIU Funds Home Care Benefit Fund $395.69
EmblemHealth HIP POS $1,302.05
BCBS (Out of State) Indemnity $71.50
EmblemHealth Essential Plan 4 $155.64
Blue Cross Blue Shield Blue Access EPO (Large Group) (NY LI Local 1199SEIU) $71.50
Healthfirst Silver Leaf (Exchange) $2,107.32
Anthem BCBS HealthPlus SOMOS Special Needs HARP $163.43
Aetna HMO $1,070.18
Anthem BCBS HealthPlus SOMOS Essential Plan 4 $163.43
Cigna Premier Plus $535.09
UnitedHealthcare Golden Rule Insurance $282.44
EmblemHealth GHI EPO $1,426.90
GEHA All Plans $1,070.18
Cigna Indemnity $535.09
EmblemHealth HIP Healthcare Partners HMO $1,302.05
BCBS (Out of State) HMO (Suitcase Logo) $71.50
Anthem BCBS HealthPlus Child Health Plus (CHP) $155.64
Healthfirst Gold Leaf (Exchange) $2,107.32
MultiPlan PHCS Director Guild $1,391.23
Cigna LifeSOURCE $535.09
EmblemHealth HIP Medicare Supplement $141.56
MultiPlan AXA Global Insurance $1,391.23
Partners Health Plan Medicaid $111.62
Cigna Cigna Managed Care/POS $535.09
UnitedHealthcare AARP Medicare Advantage Complete $141.56
Blue Cross Blue Shield Blue Priority HMO $71.50
Blue Cross Blue Shield Open Access PPO (Home-based Only) $71.50
UnitedHealthcare Core $282.44
Partners Health Plan FIDA $141.56
UnitedHealthcare Navigate $282.44
EmblemHealth HIP VIP Medicare Healthcare Partners $141.56
Aetna Indemnity $141.56
MetroPlus Essential Plan 3 $155.64
MetroPlus GoldCare 2 $333.08
MetroPlus Essential Plan 1-2, 200-250 $155.64
UnitedHealthcare Charter $282.44
MultiPlan Administrative Concepts $1,391.23
Aetna Allied ASA PPO $1,070.18
Cigna Evernorth Behavioral Health $535.09
EmblemHealth GHI Medicare HMO $141.56
Fidelis Care Gold for Children (Exchange) $280.16
MetroPlus Essential Plan 2 $155.64
Anthem BCBS HealthPlus Family Health Plus (Deprecated) $155.64
UnitedHealthcare - Oxford Medicare Advantage $141.56
Blue Cross Blue Shield Senior Care Supplemental $141.56
Blue Cross Blue Shield Blue Access PPO (Large Group) $71.50
Aetna Signature Administrators PPO $1,070.18
EmblemHealth HIP VIP Medicare Affinity $141.56
Blue Cross Blue Shield PPO $71.50
EmblemHealth GHI composite $1,426.90
BCBS (Out of State) PPO (No Suitcase Logo) $71.50
VNS Health EasyCare (Medicare Advantage) $141.56
Anthem BCBS HealthPlus Essential Plan 1, 200-250 $311.29
Aetna Student Health $1,070.18
Elderplan FIDA $141.56
EmblemHealth IUOE Local 14-14B $1,426.90
EmblemHealth HIP $1,302.05
EmblemHealth Essential Plan 3 $155.64
MultiPlan Screen Actors Guild $1,391.23
Centers Plan for Healthy Living All Plans $141.56
Anthem BCBS HealthPlus Special Needs Plan (SNP) $155.64
Better Health Plan All Plans $1,498.25
EmblemHealth CMO Essential Plan 2 $186.77
EmblemHealth HIP VIP Medicare Reserve $141.56
EmblemHealth GHI HMO $1,426.90
VNS Health EasyCare Plus (Medicare+Medicaid) $141.56
MultiPlan Global Excel Management $1,391.23
Anthem BCBS HealthPlus SOMOS ny medicaid $163.43
Fidelis Care Bronze (Exchange) $280.16
Fidelis Care Essential Plan 2 $79.35
UnitedHealthcare - Oxford Optum Health $233.57
Aetna POS $1,070.18
MultiPlan Healthnet of California $1,391.23
UnitedHealthcare - Oxford Liberty $233.57
MultiPlan PHCS $1,391.23
Aetna Chesterfield Resources ASA PPO $1,070.18
MetroPlus BronzePlus $280.28
Fidelis Care Platinum (Exchange) $280.16
EmblemHealth CMO Essential Plan 4 $155.64
Hamaspik Medicare Advantage $212.34
Aetna Healthscope ASA PPO $1,070.18
MetroPlus Child Health Plus (CHP) $155.64
Aetna Medicare Advantage $141.56
EmblemHealth Enhanced Care (Medicaid) Montefiore $155.64
EmblemHealth Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) $210.12
EmblemHealth Enhanced Care (Medicaid) Child Health Plus (SOMOS) $163.43
Blue Cross Blue Shield Indemnity $71.50
MetroPlus PlatinumPlus $280.28
Aetna Open Access Elect Choice EPO $1,070.18
BCBS (Out of State) PPO (Suitcase Logo) $71.50
MetroPlus GoldPlus $280.28
Champus Unysis Corp $141.56
Aetna Meritain Health $1,070.18
MultiPlan Mutual of Omaha $1,391.23
Blue Cross Blue Shield Pathway $70.38
Anthem BCBS HealthPlus SOMOS Essential Plan 1 & 200-250 $210.12
UnitedHealthcare Independent $282.44
EmblemHealth HIP compre health epo $1,302.05
Blue Cross Blue Shield MediBlue (Medicare Advantage) HMO (HCP) $141.56
UnitedHealthcare PPO $282.44
Blue Cross Blue Shield MediBlue (Medicare Advantage) HMO $141.56
EmblemHealth WLNY-TV $1,426.90
Fidelis Care Medicaid Managed Care $193.00
Aetna Nippon Life ASA PPO $1,070.18
Blue Cross Blue Shield MediBlue (Medicare Advantage) PPO $141.56
Anthem BCBS HealthPlus Medicaid $155.64
EmblemHealth Vytra HMO $1,302.05
UnitedHealthcare AARP Medicare Advantage Complete Essentials $141.56
Fidelis Care Essential Plan 4 $193.00
EmblemHealth Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) $210.12
UnitedHealthcare AARP $141.56
Anthem BCBS HealthPlus Medicare Advantage $141.56
Aetna Global National Transplant $1,070.18
EmblemHealth HIP Long Island College Hospital (LICH) $1,302.05
Blue Cross Blue Shield Pathway X Enhanced $70.38
Aetna Christian Brothers ASA PPO $1,070.18
BCBS (Out of State) HMO $71.50
BCBS (Out of State) EPO (Suitcase Logo) $71.50
Anthem BCBS HealthPlus Essential Plan 2 $311.29
Anthem BCBS HealthPlus SOMOS Essential Plan 2 $210.12
MultiPlan PPO $1,391.23
Blue Cross Blue Shield Blue Priority EPO (Small Group) $71.50
Cigna HMO $535.09
Anthem BCBS HealthPlus All Exchange Plans $70.38
CenterLight PACE Medicare HMO $144.39
Aetna Coresource ASA PPO $1,070.18
VA Community Care Network Optum $141.56
MultiPlan US Life Insurance Co $1,391.23
First Health Commercial HMO $1,498.25
Blue Cross Blue Shield Hotel Trades Council $71.50
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $1,426.90
EmblemHealth Healthcare Partners Essential Plan 3-4 $155.64
EmblemHealth Enhanced Care (Medicaid) $155.64
HealthSmart WTC Health Program - FDNY $141.56
BCBS (Out of State) EPO $71.50
Anthem BCBS HealthPlus Essential Plan 4 $155.64
EmblemHealth BCBS GHI Composite $71.50
MultiPlan Meritain Health $1,391.23
Fidelis Care Essential Plan 3 $193.00
Fidelis Care Bronze for Children (Exchange) $280.16
Blue Cross Blue Shield Child Health Plus (CHP) $155.64
Healthfirst Essential Plan 1 $2,107.32
Fidelis Care Wellcare Medicare Advantage $141.56
EmblemHealth HIP VIP Medicare Montefiore $141.56
UnitedHealthcare Choice $282.44
Horizon BCBS Direct $71.50
Aetna Starmark ASA PPO $1,070.18
HealthSmart WTC Health Program - NYCHHC $141.56
VNS Health MLTC (Medicaid) $111.62
MultiPlan Guardian Life Insurance Co $1,391.23
EmblemHealth GHI PPO $1,426.90
Fidelis Care Gold (Exchange) $280.16
MetroPlus SilverPlus $280.28
Aetna Wellnet ASA PPO $1,070.18
Blue Cross Blue Shield Federal Program $71.50
MultiPlan Diversified Admin Corp $1,391.23
BCBS (Out of State) POS (No Suitcase Logo) $71.50
EmblemHealth American Plan Administrators $1,426.90
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $186.77
EmblemHealth Enhanced Care (Medicaid) (SOMOS) $163.43
MultiPlan Teamsters Allied Benefits $1,391.23
Veterans Choice Veterans Choice Program $141.56
MultiPlan Global Health Management $1,391.23
EmblemHealth HIP Child Health Plus $155.64
Fidelis Care Silver for Children (Exchange) $280.16
MetroPlus Essential Plan 3-4 $155.64
First Health PPO $1,391.23
EmblemHealth VIP Prime HMO Medicare Advantage $141.56
EmblemHealth Healthcare Partners Essential Plans $186.77
Fidelis Care Platinum for Children (Exchange) $280.16
HealthSmart WTC Health Program - UMDNJ Rutgers $141.56
Partners Health Plan Medicare Advantage $141.56
MetroPlus Medicare Advantage $141.56
EmblemHealth Enhanced Care (Medicaid) SNP HARP (SOMOS) $163.43
Blue Cross Blue Shield PPO/EPO (Small Group) $71.50
Elderplan All Plans $141.56
BCBS (Out of State) POS $71.50
BCBS (Out of State) Medicare (Suitcase Logo) $141.56
UnitedHealthcare POMCO (UMR) $282.44
Blue Cross Blue Shield Local 32 BJ $71.50
Aetna PPO $1,070.18
VillageCareMAX All Plans $141.56
Anthem BCBS Optum $71.50
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