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South Carolina rates for HCPCS J3415

Pyridoxine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $54.34 / $63.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.35 / $8.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $16.43 / $16.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $7.28 / $8.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $6.99 / $44.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05