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North Dakota 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 / $159.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $104.04 / $104.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.04 / $91.50 / $92.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $91.36 / $92.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $94.50 / $118.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $104.04 / $141.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $94.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $86.70 / $95.37