| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.36 | $14.82 | $58.92 | |
Cigna
| Facility | $4.21 | $7.44 | $9.70 | |
Cigna
| Professional | $2.30 | $2.30 | $2.86 | |
United
| Professional | $2.24 | $2.24 | $3.14 |
Injection Mannitol 25% In 50 Ml (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.36 | $14.82 | $58.92 | |
Cigna
| Facility | $4.21 | $7.44 | $9.70 | |
Cigna
| Professional | $2.30 | $2.30 | $2.86 | |
United
| Professional | $2.24 | $2.24 | $3.14 |
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