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Texas rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $27 · 10th–90th $12$560%10%10th90th$27Professionalmedian $15 · 10th–90th $15$230%50%90th$15$5.0$10.0$20.0$50.0$100.0$200.0

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
$15.14 / $31.62 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.89 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $28.84 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $36.31 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $15.49