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Michigan rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $21.17 / $94.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $18.51 / $20.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $14.74 / $51.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $24.01 / $42.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $15.92 / $21.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $21.23 / $57.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $21.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $24.37 / $30.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $24.32 / $94.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $20.17 / $28.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $17.57 / $23.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $19.11 / $25.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $17.47 / $23.46