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Texas rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.73 / $7.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.39 / $4.61
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $8,002.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $4.72 / $5.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $4.84
Providence
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 / $4.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $4.63