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Oregon rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.98 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.49 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $22.39 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $16.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $14.45 / $15.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $15.49 / $18.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $16.60 / $19.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.59 / $22.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $22.39 / $46.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49