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Washington, DC rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $36.10 / $48.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $15.71 / $26.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $6.05 / $9.81