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North Carolina 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
$15.87 / $38.34 / $183.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.87 / $37.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $67.75 / $81.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $17.93
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 / $30.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $18.23 / $33.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $39.26 / $39.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $20.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00