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Washington, DC rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.92 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.82 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.82 / $1.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.95