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Michigan rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $229.09 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $181.97 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $229.09 / $288.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20