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Iowa rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.31 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.98 / $4.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.57 / $5.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.27