go back

Illinois 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
$83.23 / $156.06 / $278.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $103.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.03 / $292.50 / $1,025.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $159.90 / $200.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $87.03 / $91.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $93.64