go back

Virginia rates for HCPCS 84425

Thiamine (Vitamin B-1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $126.91 / $261.32
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
$21.23 / $21.23 / $103.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $12.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $96.13 / $143.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.83 / $52.90 / $109.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $14.29 / $24.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $26.54 / $31.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $18.51 / $20.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.19 / $34.00 / $50.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.51 / $29.16 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $29.08 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $25.48 / $25.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $12.55 / $17.80