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Pyridoxine Injection

Texas rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $11$520%5%10%10th90th$25Professionalmedian $15 · 10th–90th $15$220%50%10th90th$15$5.0$20.0$100.0$500.0

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
$12.02
Median
$28.18
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.89
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$36.31
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$15.49
Typical High
$22.39
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.75
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$17.78
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$19.95