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Illinois rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $85.11 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.12 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $75.86 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $19.50 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $63.10 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.36 / $42.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $54.95 / $281.84
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $28.18 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $19.05 / $28.18