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Maryland 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
$15.33 / $18.39 / $46.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $23.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $17.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $19.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $28.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $24.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89