go back

Idaho rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $19.67 / $80.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.02 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $2.41 / $16.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.91