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Wyoming rates for HCPCS J0515

Injection, benztropine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80