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Illinois rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $16.97 / $79.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $2.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $17.64 / $47.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.73 / $19.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.28