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Nebraska rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $95.95 / $313.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $24.48 / $25.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.46 / $63.23 / $123.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $42.71 / $46.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $40.27 / $63.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $43.40 / $137.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $16.86 / $57.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $41.02 / $88.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $57.26 / $80.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $16.86 / $56.20