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South Dakota rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Facilitymedian $15 · 10th–90th $6–$3550%20%10th90th$15Professionalmedian $16 · 10th–90th $15–$200%20%40%10th90th$16$10.0$20.0$50.0$100.0$200.0

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
$15.14 / $50.12 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $12.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $17.78
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $15.49