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Pennsylvania rates for HCPCS J2730

Injection, pralidoxime chloride, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $162.18 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $104.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $87.10 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
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
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $141.25 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $120.23