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Idaho 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
$17.27 / $19.86 / $278.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $17.27 / $20.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.32 / $15.32
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
$3.70 / $19.16 / $27.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $19.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $16.77 / $16.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $19.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $24.53