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Vermont rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $23.16 / $23.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $3.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.99 / $3.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.99 / $3.32
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.80