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Wisconsin rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $31 · 10th–90th $16$950%20%10th90th$31Professionalmedian $15 · 10th–90th $9$220%20%40%10th90th$15$0.2$1.0$5.0$20.0$100.0$500.0

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
$15.85 / $30.90 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $43.65 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $28.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $13.49
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $12.02 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $19.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.79 / $23.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.95 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $21.88