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Texas rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Facilitymedian $6 · 10th–90th $3–$170%10%10th90th$6Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.62 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $8.13 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.68 / $7.94
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.79 / $10.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17