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Indiana 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
$15.48 / $48.53 / $123.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.48 / $17.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.10 / $30.66 / $45.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $15.32 / $21.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $23.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $19.16
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 / $45.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $25.38