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Pyridoxine Injection

New York rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $6$500%10%10th90th$19Professionalmedian $15 · 10th–90th $15$220%50%90th$15$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$8.13
Median
$20.89
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.50
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$63.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$16.22
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.22
Typical High
$26.92
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$7.24