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Maine rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $19.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.70 / $6.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $19.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.71 / $19.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $6.58 / $9.86