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Alaska rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.44 / $153.90 / $275.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $71.12 / $88.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.65 / $58.65 / $58.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $24.37 / $30.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.51 / $18.51 / $18.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $21.23 / $84.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.31 / $81.73 / $136.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $47.77 / $287.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.51 / $18.51 / $74.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $27.45 / $30.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.35 / $42.46 / $64.06