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Maine 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
$15.93 / $35.57 / $38.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.90 / $20.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.40 / $47.40 / $47.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $18.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $35.57 / $84.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.90 / $38.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $39.15