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North Carolina rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $21.67 / $82.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.05 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $14.43 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $12.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $26.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.20 / $28.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $4.96 / $4.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $9.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00