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South Carolina 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
$16.09 / $170.63 / $398.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $16.09 / $27.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $30.82 / $49.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $25.40 / $29.49
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 / $15.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $17.70 / $42.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33