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Pyridoxine Injection

Utah rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $50 · 10th–90th $17$500%50%10th$50Professionalmedian $17 · 10th–90th $15$170%50%10th$17$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
$17.38
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.79
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49