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Arkansas 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
$2.43 / $2.43 / $2.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.43 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $6.19