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Virginia rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $20.76 / $63.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $4.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.02 / $4.55
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.18 / $4.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.82 / $3.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.20 / $3.74
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.20 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.82 / $4.61