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Washington 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
$16.86 / $35.40 / $67.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.86 / $31.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $19.92 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $18.32 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $18.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $19.16 / $35.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $24.90 / $24.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $19.43 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
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