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Idaho rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $17 · 10th–90th $9$580%20%10th90th$17Professionalmedian $16 · 10th–90th $15$190%20%40%10th90th$16$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $21.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.98 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $21.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $15.14 / $19.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $15.49