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Michigan rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $13.35 / $29.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.87 / $2.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $4.04 / $7.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.25 / $1.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $6.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $7.40 / $28.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.84 / $2.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.05 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.93