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Illinois rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $28 · 10th–90th $15$850%10%10th90th$28Professionalmedian $15 · 10th–90th $14$230%20%40%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0

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
$15.14 / $27.54 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $46.77 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $19.95 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $16.60