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Idaho 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
$6.31 / $6.71 / $6.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $6.71 / $7.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $6.58 / $6.58