go back

New York rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $19.20 / $56.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.29 / $15.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $17.14
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $11.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $8.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $15.85
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $11.59 / $22.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $10.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $6.27 / $6.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $6.05 / $7.20