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North Carolina rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $22 · 10th–90th $6$930%10%10th90th$22Professionalmedian $15 · 10th–90th $5$220%20%10th90th$15$5.0$10.0$20.0$50.0$100.0

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
$5.62 / $21.88 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $15.14 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $15.49 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $21.38
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00