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Kentucky rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $18.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $12.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $7.13 / $7.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $6.05 / $6.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.66 / $9.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.66 / $9.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.60 / $23.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05