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Pyridoxine Injection

South Dakota rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $15$260%50%90th$15Professionalmedian $15 · 10th–90th $15$190%50%10th90th$15$10.0$20.0

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
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$19.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$21.88
Typical High
$34.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$12.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$17.78
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79