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Alaska rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $45.89 / $96.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $3.38 / $6.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $17.48 / $45.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $5.52 / $8.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $5.52 / $13.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.73 / $3.67