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Nebraska rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $7.94 / $9.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $5.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.89 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.85 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.75 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $6.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.13 / $6.20