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Utah rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $75.86 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $24.55 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $32.36 / $53.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $102.33 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $25.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.18 / $38.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.18 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $38.90