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Rhode Island rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $19.66 / $19.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $12.80 / $22.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.05 / $6.05
Cigna
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