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Missouri rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Facilitymedian $3 · 10th–90th $3–$60%50%90th$3Professionalmedian $3 · 10th–90th $3–$40%20%40%90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.62 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $4.27