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Washington 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 / $88.43 / $208.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.35 / $88.43 / $88.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.35 / $88.43 / $437.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $104.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $367.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.35 / $86.35 / $88.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.11 / $93.64 / $104.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.43 / $88.43 / $99.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $88.43 / $88.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70