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Pyridoxine Injection

New Hampshire rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $15$550%20%10th90th$22Professionalmedian $15 · 10th–90th $15$280%50%90th$15$10.0$20.0$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
$14.79
Median
$14.79
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.90
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.49
Typical High
$29.51