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New York 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 / $21.07 / $49.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $23.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $40.77
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $19.02 / $19.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $19.02 / $19.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $18.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $21.69 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $32.75
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $15.32 / $35.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $31.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $15.90 / $15.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.90 / $44.54