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Massachusetts rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $22 · 10th–90th $15–$490%20%10th90th$22Professionalmedian $15 · 10th–90th $15–$230%50%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $21.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $37.15 / $48.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.79 / $14.79
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $25.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $37.15 / $48.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $22.39