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Oregon rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $17.27 / $25.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.68 / $19.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $22.34 / $25.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $28.41 / $41.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $8.65 / $28.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.41 / $7.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $12.55 / $31.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $22.34 / $35.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $8.23 / $22.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05