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Virginia rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $26.88 / $103.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.35 / $6.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.71 / $23.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.26 / $26.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $16.98 / $22.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.32 / $24.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.32 / $24.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.05 / $7.59