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New York 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 / $4.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.30 / $3.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.23 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.65 / $3.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $6.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.65 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.57
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51