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Missouri rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $4.17
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 / $3.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $9.33 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.17 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.17 / $4.68