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Ohio rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $13.79 / $68.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.57 / $19.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $14.16 / $39.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $11.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $10.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $34.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.05 / $6.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $34.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $14.08 / $18.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $7.93