go back

Pyridoxine Injection

Arizona rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $5$790%10%20%10th90th$26Professionalmedian $16 · 10th–90th $9$210%20%10th90th$16$0.5$2.0$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$26.30
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.22
Typical High
$20.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$12.02
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$28.84
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$26.30
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49