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North Dakota rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $23.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.59 / $6.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $6.58 / $6.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $12.83 / $16.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $15.90 / $22.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.80 / $13.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $6.05 / $6.57