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Nebraska rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.15 / $80.50 / $302.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $18.51 / $21.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $58.64 / $114.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $32.27 / $34.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $30.46 / $48.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $39.74 / $107.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $12.74 / $42.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $38.22 / $66.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $46.53 / $61.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $8.92 / $12.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $12.74 / $23.35