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Idaho rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $33.88 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.11 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $87.10 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $58.88 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.92 / $39.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $30.20 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $51.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $57.54 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $29.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $57.54