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Minnesota rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $25.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.29 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $13.91 / $31.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $12.80 / $14.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.25 / $57.21 / $69.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $16.29 / $21.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $52.21 / $65.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $12.83 / $19.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $12.80 / $77.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $23.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $10.97