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Arkansas rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.26 / $7.26 / $15.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.72 / $15.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.88 / $13.88 / $13.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.04 / $13.88 / $13.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.05 / $11.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $22.17