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Pennsylvania rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $4.98 / $5.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.24 / $4.09