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Pennsylvania rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $9.09 / $43.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.84 / $6.63
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.24 / $849.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.97 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.70 / $20.00
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.18 / $816.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $8.51 / $41.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.89 / $5.44
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.82 / $1.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $3.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $3.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.33