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Texas rates for HCPCS J7665

Mannitol, administered through an inhaler, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.09 / $21.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.47 / $7.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $15.73 / $31.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $6.78
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $6.47 / $6.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.71 / $7.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $6.71 / $6.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.71 / $6.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.58 / $6.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.58 / $8.88