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Oregon rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $16 · 10th–90th $8–$310%10%20%10th90th$16Professionalmedian $15 · 10th–90th $9–$220%20%10th90th$15$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $15.49 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.39 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.45 / $41.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.79 / $18.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $15.85 / $19.50
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.92 / $28.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.98 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49