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Louisiana 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 / $145.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $104.04 / $104.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.64 / $93.64 / $140.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $93.64 / $95.51
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $104.04