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South Carolina rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $23.44 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.32 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $6.76 / $6.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $6.76 / $7.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.66 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $6.61 / $6.61