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Maine 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
$241.37 / $241.37 / $260.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.07 / $268.07 / $268.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.90 / $91.90 / $111.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.37 / $241.37 / $260.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $260.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $130.05