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Connecticut rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $16.35 / $20.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.29 / $6.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $10.45 / $22.08
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
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $6.56 / $7.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $6.29 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $6.05 / $23.99