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Louisiana 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 / $18.13 / $60.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.48 / $20.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $4.25 / $27.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $18.45 / $18.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $26.96