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Missouri rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $27.86 / $90.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $4.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.98 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $10.48 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.79 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.82 / $2.27