go back

Massachusetts rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $8.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.62 / $34.92 / $1,600.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $10.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $4.38 / $9.36
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $7.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $6.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $7.00