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South Carolina 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
$3.39 / $3.39 / $13.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.51 / $3.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $7.07 / $7.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.73 / $5.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13