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South Carolina rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $46 · 10th–90th $12$630%20%10th90th$46Professionalmedian $16 · 10th–90th $5$250%20%10th90th$16$1.0$2.0$5.0$10.0$20.0$50.0

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
$12.30 / $60.26 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $15.85 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $17.78 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $16.60