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New Hampshire 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
$88.43 / $88.43 / $108.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.65 / $130.05 / $356.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $88.43 / $88.43
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.73 / $153.01 / $283.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $91.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $97.27 / $123.80