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Indiana rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $65.25 / $248.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $18.47 / $20.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.77 / $20.23 / $63.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $15.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $23.35 / $29.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.29 / $28.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $21.23 / $54.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $24.37 / $47.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $12.74 / $21.23