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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 / $4.61 / $42.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.73 / $7.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $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
$2.47 / $3.03 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.61 / $5.54