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Minnesota rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $32 · 10th–90th $13–$590%20%10th90th$32Professionalmedian $15 · 10th–90th $13–$170%50%10th90th$15$0.0$0.1$0.5$2.0$10.0$50.0

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
$15.14 / $30.90 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $19.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $58.88
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $12.88 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $28.84