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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
$3.16 / $6.76 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $5.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.82 / $1.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.95 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.16 / $3.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.45 / $16.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $6.92 / $38.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.82 / $5.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $3.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.82 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.31