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Arkansas rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.55 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.17 / $4.17