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Delaware rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $29.90 / $119.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $29.84 / $29.84
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 / $9.08 / $25.56