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Oregon rates for HCPCS J2670

Injection Tolazoline Hcl Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $8.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $4.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $6.88 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $4.90 / $7.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $4.90 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,793.95 / $7,793.95 / $7,793.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13