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Nebraska rates for HCPCS J0515

Injection, benztropine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $24.55 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.80 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.14 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.13 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $33.11 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $17.38 / $25.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.80 / $20.89