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Pyridoxine Injection

Washington rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $13$460%20%10th90th$20Professionalmedian $16 · 10th–90th $9$340%20%10th90th$16$2.0$5.0$10.0$20.0$50.0$100.0

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
$14.45
Median
$21.38
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.22
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$16.98
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.77
Typical High
$19.95
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.88
Typical High
$21.88
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.14
Typical High
$15.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Regence BlueShield
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
$15.49
Typical High
$36.31
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
$14.79
Typical High
$19.50