Rate Benchmarking
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See a sample rate comparisonHCPCS J3415 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| 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 | |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| 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:

$17.81
BCBS / Anthem

$18.01
UnitedHealthcare

$18.50
Aetna

$18.60
Cigna
Choose a payer to see a sample of rates for HCPCS J3415.
North Shore Medical Center, Inc., North Shore Medical Center
North Shore Medical Center Inc
Ohiohealth Corporation, Dublin Methodist Hospital
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
Kaleida Health, Kaleida Health
Kaleida Health
Richland Parish Hospital Service District No 1-B, Richardson Medical Center
Bothwell Regional Health Center, Bothwell Anesthesia Services
Bothwell Regional Health Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J3415 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J3415. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 10106-3343-01-NDC | Moderate | PYRIDOXINE HCL (U.S.P., F.C.C.) |
| 49452-6140-01-NDC | Moderate | PYRIDOXINE HCL (U.S.P.) |
| 49452-6140-02-NDC | Moderate | PYRIDOXINE HCL (U.S.P.) |
| J3415-HCPCS | Low | Injection, 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.
Bring your top codes (like HCPCS J3415) and we'll show you how you compare in 15 minutes or less.