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Montana rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $38.04 / $89.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.02 / $6.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $8.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.97 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82