go back

Illinois 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 / $26.83 / $142.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.78 / $20.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.39 / $88.47 / $210.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $22.23 / $66.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $19.93 / $19.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $26.96