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North Dakota 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 / $15.33 / $31.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $20.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $16.71 / $16.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $16.69 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $17.10 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.21 / $22.28 / $93.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $17.27 / $18.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $15.33 / $16.64