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New York rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $5.13 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $7.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.91 / $5.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.82 / $6.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.82 / $3.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.19
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $3.39