Mannitol injection
This code is not in the latest file (4Q26). It was last listed in 3Q25.
Payment limit per 50 ML, by effective quarter, 1Q21 to 3Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 3Q25.
Payment limit per 50 ML, by effective quarter, 1Q21 to 3Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q25 | $2.236 | −$0.027 | 50 ML | Mannitol injection | v1, posted March 10, 2026 |
| 2Q25 | $2.263 | −$0.273 | 50 ML | Mannitol injection | v1, posted March 10, 2026 |
| 1Q25 | $2.536 | −$0.073 | 50 ML | Mannitol injection | v1, posted December 19, 2025 |
| 4Q24 | $2.609 | −$0.284 | 50 ML | Mannitol injection | v1, posted June 11, 2025 |
| 3Q24 | $2.893 | −$1.63 | 50 ML | Mannitol injection | v1, posted June 11, 2025 |
| 2Q24 | $4.523 | +$1.928 | 50 ML | Mannitol injection | v1, posted March 11, 2025 |
| 1Q24 | $2.595 | −$2.665 | 50 ML | Mannitol injection | v1, posted December 19, 2024 |
| 4Q23 | $5.26 | +$0.33 | 50 ML | Mannitol injection | v1, posted October 10, 2024 |
| 3Q23 | $4.93 | +$1.90 | 50 ML | Mannitol injection | v1, posted June 5, 2024 |
| 2Q23 | $3.03 | −$1.953 | 50 ML | Mannitol injection | v1, posted February 23, 2024 |
| 1Q23 | $4.983 | +$0.636 | 50 ML | Mannitol injection | v1, posted December 6, 2023 |
| 4Q22 | $4.347 | +$1.743 | 50 ML | Mannitol injection | v1, posted June 22, 2023 |
| 3Q22 | $2.604 | +$0.01 | 50 ML | Mannitol injection | v1, posted June 9, 2023 |
| 2Q22 | $2.594 | −$2.036 | 50 ML | Mannitol injection | v1, posted December 14, 2022 |
| 1Q22 | $4.63 | +$2.115 | 50 ML | Mannitol injection | v1, posted June 8, 2022 |
| 4Q21 | $2.515 | +$0.45 | 50 ML | Mannitol injection | v1, posted June 2, 2022 |
| 3Q21 | $2.065 | +$0.087 | 50 ML | Mannitol injection | v1, posted June 2, 2022 |
| 2Q21 | $1.978 | −$0.398 | 50 ML | Mannitol injection | v1, posted March 1, 2022 |
| 1Q21 | $2.376 | – | 50 ML | Mannitol injection | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.