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Maine rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $89.13 / $89.13
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $112.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $125.89