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Missouri rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $5.76 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.59