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Washington rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $7.04 / $83.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $6.63
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.08 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.24 / $5.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $3.27 / $3.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.02 / $3.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Regence BlueShield
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 / $1.82