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Pyridoxine Injection

Montana rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated October 2026.

How much does Pyridoxine Injection cost?

$33.00per dose

One 218 mg dose, at the doctor's office rate. In Montana, October 2026.

Negotiated ratewhat insurers pay per 100 mg of the drug
$15.14 / 100 mg
Average doseacross Medicare claims, discarded units included
× 218 mg
One dosedrug only; giving it and the visit are billed separately
$33.00

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$33.00
At a hospital outpatient department
$35.36

The same drug, in the same amount, costs 7% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer 100 mgPer 218 mg dose
Doctor's office or clinic$15.14$33.00
Hospital outpatient department$16.22$35.36

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $23Professionalmedian $15 · 10th to 90th $14 to $79
$10$20$50facility $16professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$14.13
Typical High
$14.45
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$20.89
Typical High
$26.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$23.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$14.45
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$16.22
Typical High
$18.62
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$17.38
Typical High
$17.78
Providence
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$23.44
Providence
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.45
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79

Where Montana sits

The same service costs 2.0 times more in South Carolina than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 6th of 51

$16.22

SC $25.70KY $12.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.