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Maine rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $15.13 / $91.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.72 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.71 / $18.71 / $18.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $7.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $14.04 / $15.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.95 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $6.05 / $12.89