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Michigan 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
$15.77 / $19.88 / $65.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.78 / $20.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.94 / $34.11 / $64.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $13.01 / $13.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $74.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $31.13 / $65.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.09 / $18.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $19.28 / $19.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $16.26