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Montana rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $96.04 / $188.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $18.51 / $24.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.45 / $28.45 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $28.45 / $28.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $41.40 / $62.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $30.46 / $30.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $36.09 / $62.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $21.23 / $30.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $9.17 / $29.19