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Maryland rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $21.25 / $41.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $16.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $12.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $7.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $23.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $15.78 / $15.78