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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
$2.69 / $15.14 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.69 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.86 / $3.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.00
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 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.40