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Kansas rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $22.82 / $56.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.53 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $16.32 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $17.92 / $20.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.80 / $20.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $9.68