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Montana rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Facilitymedian $43 · 10th–90th $43–$500%20%40%90th$43Professionalmedian $3 · 10th–90th $3–$90%50%90th$3$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $50.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $50.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17