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Washington, DC 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
$15.33 / $48.70 / $65.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $25.36 / $42.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $15.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $15.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $15.33 / $24.85