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New Hampshire 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 / $8.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $9.86 / $27.08
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 / $6.71
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 / $1.12 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $6.58 / $6.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $7.38 / $9.39