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Arizona 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
$16.39 / $30.66 / $45.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.90 / $45.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $55.94 / $95.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $16.72 / $97.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.60 / $15.32 / $15.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $27.16 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $17.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33