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Kansas 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 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $9.22 / $10.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $7.75 / $7.75
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 / $3.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $4.13 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.30