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Texas rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $21.78 / $90.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.84 / $2.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $7.71 / $15.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $3.00 / $79.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.67 / $55.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.83 / $3.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.82 / $3.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.46