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Maryland 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
$6.47 / $6.71 / $7.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.06 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.58 / $6.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $6.58