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Hawaii rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $22.77 / $22.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.49 / $6.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.18 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.12 / $2.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.98 / $3.73