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Mannitol Injection

Wisconsin rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$110%10%10th90th$4Professionalmedian $2 · 10th–90th $2$50%50%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.50
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.17
Typical High
$4.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$5.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$3.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$100.00