BAYCARE CHARGE 10002800 BENZTROPINE MESYLATE 1 MG/ML IJ SOLN Insurance and Self Pay Discounts 250 J0515 0143-9729-05 $92.99

Aurora BAYCARE
CHARGE
10002800
BENZTROPINE MESYLATE 1 MG/ML IJ SOLN
Rev 250
CPT J0515
NDC 0143-9729-05

Fee $92.99

Self-Pay $50.26
Minimum $46.50
Maximum $79.04

Insurance
Aetna W $41.42
Aetna PPO $77.50
Anthem Blue Priority $32.66
Anthem Blue Preferred $32.66
Anthem PPO $79.04
Aurora Caregiver $28.89
Centivo $34.84
Cigna GPPO $56.80
Cigna PPO $78.66
Common Ground ETF Network $32.75
Common Ground Exchange Envision $32.75
Common Ground Group Envision $32.75
Everpointe Elite $30.96
Health EOS Plus $56.72
Health EOS PPO $74.39
HealthPartners ETF $30.48
HealthPartners Robin Focused $38.09
HealthPartners Broad $69.74
HPS $36.04
HST $47.04
Humana HPN $33.52
Humana HMO $33.52
Humana PPO $78.61
Molina Exchange $44.58
Quartz One $44.50
Quartz Group $51.92
Trilogy $52.30
UHC Individual Exchange $31.14
UHC Charter $31.14
UHC Nexus $31.14
UHC HMO $32.72
UHC PPO $78.67
WPS Aurora Featured Network $47.75
WPS Arise $50.26
WPS Statewide $50.26