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Michigan 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
$83.23 / $83.23 / $259.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.85 / $187.07 / $353.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $85.59 / $85.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $111.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $104.04 / $231.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $91.90 / $110.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $91.98