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Missouri rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $7.89 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $11.19 / $17.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $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
$6.71 / $6.71 / $6.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $6.71 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $6.58 / $7.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $6.58 / $7.61