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Vermont rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.72 / $21.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $6.84 / $6.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $14.23 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $14.23 / $23.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.05 / $22.17