go back

New Hampshire rates for HCPCS J0515

Injection, benztropine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.49 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.80 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $28.84 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.39 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $20.89