go back

Kentucky 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 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.07 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.63 / $3.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $52,480.75 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.72 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17