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Minnesota 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
$104.04 / $104.04 / $104.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $86.35 / $104.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $122.48 / $194.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $88.43 / $88.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.91 / $301.00 / $366.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.45 / $110.88 / $120.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.87 / $274.68 / $344.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $94.50 / $128.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.90 / $92.94 / $140.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $119.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $157.16