go back

New Hampshire rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $100.00 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $181.97 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $89.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $141.25