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Montana rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $16 · 10th–90th $12–$450%20%10th90th$16Professionalmedian $16 · 10th–90th $15–$420%20%40%10th90th$16$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.79 / $14.79
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $15.85 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.85 / $42.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $23.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49