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Arkansas rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.71 / $6.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $6.58 / $6.58