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Kentucky 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 / $7.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.05 / $4.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.61 / $3.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $55,999.44 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.72 / $19.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.42