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Mississippi 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
$3.39 / $4.96 / $4.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.51 / $4.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.13 / $5.29