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Pyridoxine Injection

Illinois rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $15$850%20%10th90th$26Professionalmedian $15 · 10th–90th $13$260%50%10th90th$15$5.0$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
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$26.30
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$46.77
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$27.54
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$19.95
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$16.60