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Utah rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Facilitymedian $31 · 10th–90th $22–$630%10%20%10th90th$31Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.51 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82