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New York rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $9.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.71 / $7.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.58 / $6.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.12 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $1.06 / $1.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.04 / $1.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.04 / $1.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $6.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $6.71 / $6.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $6.58 / $8.48
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.44