go back

Missouri 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
$17.27 / $30.00 / $55.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $17.44 / $31.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $26.06 / $40.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $19.16
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
$18.32 / $56.82 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $17.27 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $15.33 / $18.75