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Oklahoma rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $33.11 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.27 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.14 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.78 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.82 / $1.82