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New Hampshire rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Facilitymedian $4 · 10th–90th $4–$60%50%10th90th$4Professionalmedian $3 · 10th–90th $3–$60%20%10th90th$3$2.0$5.0$10.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.89 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $7.41 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.75 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.17 / $6.92