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New Hampshire 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 / $19.34 / $57.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $17.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $23.00 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $17.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.32 / $15.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $25.52 / $47.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.47 / $33.71 / $47.29