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Indiana rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.81