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Indiana rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $14.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $6.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.44 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.12