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Kansas 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
$17.61 / $30.00 / $75.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.55 / $30.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.09 / $21.15 / $23.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $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
$17.73 / $26.27 / $35.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $17.27 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $26.06