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South Carolina 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
$85.31 / $85.31 / $344.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.31 / $88.43 / $88.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.77 / $156.16 / $274.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $104.04 / $124.85
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.31 / $104.04 / $138.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.31 / $85.31 / $106.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70