go back

New Hampshire rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.19 / $77.48 / $192.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $24.20 / $24.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.92 / $41.10 / $95.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $13.79 / $16.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.44 / $107.76 / $143.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $15.32 / $30.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $37.72 / $77.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $12.74 / $17.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $25.17 / $34.17