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Washington rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Facilitymedian $3 · 10th–90th $2–$40%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$30%50%10th$3$2.0$5.0

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
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $4.27
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.47 / $4.47
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.69