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Arizona rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $15.49 / $25.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.68 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $30.16 / $67.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $12.08 / $38.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $16.10 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05