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Iowa rates for HCPCS J2670

Injection Tolazoline Hcl Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $7.94 / $12.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.00 / $4.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.54 / $5.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $4.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.25