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Texas 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
$83.23 / $93.84 / $199.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $85.31 / $116.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.33 / $338.13 / $495.92
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.83 / $437.90 / $437.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $91.90 / $121.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $78.03 / $143.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $121.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $88.43 / $118.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $117.05