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Maine rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $27.51 / $81.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.02 / $2.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $17.95 / $126.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.02 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.30