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Nebraska rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $165.96 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $100.00 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $95.50 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $158.49 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $104.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $169.82 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $104.71