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Missouri 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 / $104.04 / $141.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $109.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.03 / $117.05 / $228.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $83.23 / $104.04
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $111.83 / $437.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $86.70 / $99.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $86.70 / $100.31