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Vermont rates for HCPCS J0515

Injection Benztropine Mesylate Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $29.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $17.35 / $17.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $18.98 / $31.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $18.98 / $31.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $15.33 / $26.96