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Nebraska 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 / $17.27 / $33.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $17.27 / $45.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.01 / $17.35 / $17.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $17.35 / $19.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.10 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $36.83 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $17.27 / $25.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.12 / $20.97 / $32.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $23.87 / $44.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $15.33 / $16.86