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Arkansas 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
$18.39 / $18.39 / $20.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $18.39 / $20.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $18.73 / $18.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $18.73 / $18.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.32 / $18.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $26.96