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Ohio rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $7.77 / $40.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.89 / $4.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $4.26 / $11.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.45
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.82 / $2.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $4.50 / $18.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.27 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.52