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Oklahoma 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
$84.27 / $84.27 / $167.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $84.27 / $84.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.76 / $153.44
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 / $90.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.27 / $104.04 / $135.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70