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Alaska rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $199.53 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $141.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $229.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $630.96