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Iowa 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
$104.04 / $104.04 / $229.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $104.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $94.50 / $118.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.97 / $160.83 / $174.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.72 / $104.04 / $149.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $149.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.72 / $104.13 / $138.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $115.41 / $204.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $89.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70