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North Dakota rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $7.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.13 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $4.13 / $5.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $4.49