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Indiana rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $14.74 / $80.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.84 / $1.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $3.64 / $5.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.82 / $2.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.09
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 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.09