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North Carolina rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $12.75 / $86.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.20 / $7.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $9.08 / $10.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $3.06
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 / $3.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.20 / $4.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00