go back

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 / $22.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.89 / $2.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $4.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.00 / $6.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.89 / $3.57