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California rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Facilitymedian $100 · 10th–90th $100$1000%50%100%$100Professionalmedian $5 · 10th–90th $3$130%10%20%10th90th$5$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.88 / $13.18