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West Virginia rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $8.25 / $22.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.29 / $12.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $9.08 / $9.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.05 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $23.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.18 / $49.18 / $62.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $26.08