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Colorado rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $26.75 / $59.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.72 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $10.89 / $19.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.93 / $12.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.65 / $9.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05