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Pennsylvania rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $10.07 / $16.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.98 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.94 / $1.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $9.93 / $16.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $17.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Priority Health
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 / $9.09