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New Mexico rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.47 / $6.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17