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West Virginia 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 / $17.27 / $17.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $17.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $23.00 / $23.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.32 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $36.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $60.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $15.33 / $31.72