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Minnesota rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $131.83 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $316.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $109.65 / $120.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $302.00 / $354.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $158.49