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Oklahoma rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $27.50 / $96.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.32 / $20.83 / $32.42
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 / $9.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $13.82 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $12.80 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05