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Tennessee rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $21.38 / $81.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.08 / $26.08 / $26.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $15.65