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Alaska rates for HCPCS J0515

Injection Benztropine Mesylate Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.73 / $60.39 / $218.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $28.50 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.76 / $40.76 / $40.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $49.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.49 / $42.00 / $66.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.59 / $42.00 / $99.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $16.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $23.00 / $30.92