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Pyridoxine Injection

Alaska rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $15$890%20%40%10th90th$29Professionalmedian $26 · 10th–90th $15$420%20%10th90th$26$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
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$58.88
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$27.54
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$47.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$41.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.44
Typical High
$218.78