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Washington rates for HCPCS J2670

Injection, tolazoline HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $8.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.51 / $3.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $13.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $4.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13