go back

Maine rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $39 · 10th–90th $36–$910%50%10th90th$39Professionalmedian $15 · 10th–90th $15–$220%50%10th90th$15$10.0$20.0$50.0$100.0

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
$36.31 / $38.90 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.85 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.49 / $22.39