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Oklahoma 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
$16.55 / $18.64 / $516.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $16.55 / $16.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.63 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $15.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $60.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $19.57 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $17.27 / $17.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33