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Nationwide rates for HCPCS J2150

Injection Mannitol 25% In 50 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $14.82 / $58.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $7.44 / $9.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.30 / $2.30 / $2.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.14