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Iowa rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $7.89 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.55 / $7.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.89 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.38 / $8.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $7.89 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $6.58 / $7.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.83 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.58 / $7.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.98 / $0.98