go back

Massachusetts rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $6.90 / $55.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.89 / $2.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $4.88 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.31 / $4.95
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $5.77 / $435.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.92
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $3.45 / $4.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.92