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Massachusetts rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $5.50 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $34.67 / $1,584.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.37 / $10.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $6.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $34.67 / $1,584.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.13 / $10.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.17 / $5.75