go back

Arizona rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $8.00 / $88.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.17 / $6.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $6.04 / $10.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.74 / $11.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $2.82 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82