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Iowa rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.33 / $105.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $6.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.11 / $2.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.52 / $17.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $3.94 / $39.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $4.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.14 / $3.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.36 / $4.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.87
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79