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Oklahoma rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $56.21 / $200.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $25.03 / $28.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $16.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $34.26 / $46.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $26.70 / $28.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $19.64 / $45.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $28.36 / $40.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $25.47 / $137.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $16.05 / $35.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.40 / $121.40 / $121.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $14.05 / $18.27