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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
$3.02 / $3.02 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.75 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17