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Nebraska rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $9.44 / $128.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $6.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.06 / $2.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.00 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.82 / $2.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $19.76 / $74.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.79 / $4.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $3.31 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $3.36 / $6.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.82 / $2.00