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Texas 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
$15.48 / $35.22 / $334.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.48 / $27.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $45.46 / $90.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $17.96 / $17.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $38.86 / $82.39
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $21.92 / $39.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $15.33 / $30.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.32 / $22.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $15.32 / $27.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $16.89 / $20.70