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Pyridoxine Injection

Missouri rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $15$390%20%40%10th90th$17Professionalmedian $15 · 10th–90th $15$300%50%10th90th$15$10.0$20.0$50.0$100.0

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
$15.49
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$36.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.49
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$27.54
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.88
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$19.50