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Arkansas rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $56.23 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $28.18 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $35.48 / $35.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.18 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.78 / $30.20
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $24.55 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $19.05 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.80 / $34.67