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Alaska rates for HCPCS J0515

Injection, benztropine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $89.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $25.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $44.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $41.69 / $66.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $37.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $20.89 / $436.52