Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3415. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
23
Median % of Medicare
--
Rate range
$2.49 - $26.01
J3415 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6.08 | -- | -- | 2026 |
| Arizona | $12.94 | -- | -- | 2026 |
| Connecticut | $15.78 | -- | -- | 2025 |
| District of Columbia | $15.56 | -- | Not required | 2026 |
| Iowa | $19.30 | -- | -- | 2024 |
| Idaho | $13.44 | -- | Not required | 2026 |
| Illinois | $14.49 | -- | -- | 2026 |
| Indiana | $26.01 | -- | -- | 2026 |
| Kansas | $12.94 | -- | -- | 2026 |
| Michigan | $12.94 | -- | -- | 2026 |
| Minnesota | $12.94 | -- | -- | 2026 |
| Montana | $15.56 | -- | -- | 2026 |
| Nebraska | $12.94 | -- | -- | 2026 |
| New Hampshire | $24.77 | -- | Not required | 2026 |
| New Jersey | $2.49 | -- | Not required | 2026 |
| New Mexico | $15.78 | -- | -- | 2025 |
| Texas | $12.80* | -- | -- | 2026 |
| Utah | $12.94* | -- | Not required | 2026 |
| Virginia | $12.94 | -- | -- | 2026 |
| Vermont | $5.75 | -- | -- | 2026 |
| Washington | $12.94 | -- | -- | 2026 |
| Wisconsin | $12.94 | -- | -- | 2026 |
| Wyoming | $12.94 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related drugs codes
- J0013 - Esketamine, nasal spray, 1 mg
- J0120 - Injection, tetracycline, up to 250 mg
- J0121 - Injection, omadacycline, 1 mg
- J0122 - Injection, eravacycline, 1 mg
- J0129 - Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- J0130 - Injection abciximab, 10 mg
- J0131 - Injection, acetaminophen, not otherwise specified,10 mg
- J0132 - Injection, acetylcysteine, 100 mg
All 74 codes from J3000 to J3489 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J3415?
23 state Medicaid programs publish a fee-for-service rate for J3415 (injection, pyridoxine hcl, 100 mg), ranging from $2.49 in New Jersey to $26.01 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3415?
Indiana publishes the highest Medicaid rate for J3415 at $26.01. New Jersey publishes the lowest at $2.49.
Does J3415 require prior authorization under Medicaid?
No publishing state flags J3415 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.