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Louisiana rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $8.91 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.14 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.82 / $2.82