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Minnesota rates for HCPCS J2670

Injection Tolazoline Hcl Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.43 / $4.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.75 / $7.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.30 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $11.94 / $14.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.40 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $10.90 / $13.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $5.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.90 / $6.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $7.49