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Georgia rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $12.80 / $81.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.23 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.56 / $6.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $11.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $12.28 / $17.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $10.59