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North Carolina rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.51 / $4.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $4.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.72 / $4.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00