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HCPCS J3415 (Pyridoxine Hcl) Fee Schedule

Medicare rates as of October 2026

HCPCS J3415 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.

Injection, pyridoxine HCl, 100 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

11 - Office

Complexity LevelLow
Medicare Fee Schedule$15.79 per 100 mg (October 2026 ASP) · View Medicare rates for J3415
Medicaid Fee Schedule$14.50 median of the 8 states in the free preview · View Medicaid rates for J3415
Medicare Payment Limit
$6.046BuyandBill.com
WAC Price
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Related NDC Codes

• 10106-3343-01 - PYRIDOXINE HCL (U.S.P., F.C.C.)

• 49452-6140-01 - PYRIDOXINE HCL (U.S.P.)

• 49452-6140-02 - PYRIDOXINE HCL (U.S.P.)

• 49452-6140-03 - PYRIDOXINE HCL (U.S.P.)

• 51552-0149-04 - PYRIDOXINE HCL (U.S.P.,N.F.)


National average reimbursement for HCPCS J3415 by major payers:

BCBS / Anthem logo

$17.81

BCBS / Anthem

UnitedHealthcare logo

$18.01

UnitedHealthcare

Aetna logo

$18.50

Aetna

Cigna logo

$18.60

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J3415.

HCPCS J3415
5 of 25 sample ratesHigher to lower in this preview
  1. North Shore Medical Center, Inc., North Shore Medical Center

    North Shore Medical Center Inc

    FLGeneral Acute Care HospitalNPI 1720019995Tax ID 65-0638217

    $55.00Published rate
  2. Ohiohealth Corporation, Dublin Methodist Hospital

    Ohiohealth Corporation Grant Riverside Doctors Dublin Met

    OHGeneral Acute Care HospitalNPI 1801937008Tax ID 31-4394942

    $19.07Published rate
  3. Kaleida Health, Kaleida Health

    Kaleida Health

    NYGeneral Acute Care HospitalNPI 1427007046Tax ID 16-1533232

    $17.63Published rate
  4. Richland Parish Hospital Service District No 1-B, Richardson Medical Center

    LAGeneral Acute Care HospitalNPI 1497913016Tax ID 72-1179028

    $15.77Published rate
  5. Bothwell Regional Health Center, Bothwell Anesthesia Services

    Bothwell Regional Health Center

    MOGeneral Acute Care HospitalNPI 1548439094Tax ID 44-0552490

    $13.22Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J3415 vs. Other Drugs, Administered by Injection Codes

The table lists codes related to J3415. Select one to see its fee schedule.

CodeComplexityDescription
10106-3343-01-NDCModeratePYRIDOXINE HCL (U.S.P., F.C.C.)
49452-6140-01-NDCModeratePYRIDOXINE HCL (U.S.P.)
49452-6140-02-NDCModeratePYRIDOXINE HCL (U.S.P.)
J3415-HCPCSLowInjection, pyridoxine HCl, 100 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J3415 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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