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Hawaii rates for HCPCS J2730

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.89 / $94.89 / $94.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $86.70 / $130.05
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.41 / $89.16 / $108.38