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California rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $47.39 / $218.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $25.09 / $33.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $16.86 / $21.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.79 / $67.78 / $299.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $22.13 / $65.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.37 / $92.60 / $357.57
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $24.88 / $80.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $36.90 / $94.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $34.11 / $49.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $28.10 / $44.96
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $28.10 / $61.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $134.46 / $137.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $33.84 / $53.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $16.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $33.61 / $80.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $28.10 / $56.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $98.63 / $98.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $28.10 / $39.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $16.72 / $55.83