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Louisiana rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $109.65 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $95.50