go back

Florida rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $25.00 / $100.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $12.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $6.05 / $6.05
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.39 / $6.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $9.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $12.80