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New Hampshire rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $5.13 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.80 / $6.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.57 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.09