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South Carolina rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $51.98 / $87.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.20 / $43.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.83 / $7.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.93 / $3.59
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 / $1.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.10 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82