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Washington, DC rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $141.25