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Nebraska 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 / $181.48 / $229.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $139.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.03 / $99.24 / $104.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.84 / $103.00 / $104.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $94.50 / $118.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $158.13 / $437.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $104.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.72 / $101.57 / $149.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $115.41 / $203.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $86.70 / $95.37