go back

Virginia rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.83 / $7.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
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
$4.13 / $4.13 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.13 / $4.13