go back

Oklahoma rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $6.39 / $12.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $6.39 / $6.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $6.71 / $6.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $6.71 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.58 / $6.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.58 / $6.58