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Indiana rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $14.60 / $28.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $13.16 / $19.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.67 / $1.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $12.62 / $12.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $6.71 / $18.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $6.58 / $7.11