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Oregon 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 / $28.96 / $69.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $17.27 / $45.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $23.90 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $16.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $37.63 / $44.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $21.92 / $35.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.23 / $19.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $19.55 / $35.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $27.85 / $44.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $20.70 / $29.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33