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Washington, DC rates for HCPCS J2730

Injection Pralidoxime Chloride Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $193.59 / $193.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $86.70 / $140.52