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Rhode Island 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
$49.82 / $49.82 / $49.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $17.27 / $25.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $15.33 / $15.33