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California rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $12.04 / $163.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $6.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.97 / $2.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $5.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.35 / $5.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $7.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.18 / $4.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.82 / $2.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.49