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Virginia 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 / $96.57 / $191.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $112.89 / $117.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.90 / $104.04 / $134.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $106.00 / $106.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $86.70 / $110.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $86.70 / $110.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.30 / $86.70 / $104.04