go back

Maryland 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
$88.43 / $88.43 / $88.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $113.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.08 / $93.64 / $127.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $91.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.90 / $91.90 / $91.90