go back

Washington rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Facilitymedian $5 · 10th–90th $2$720%10%10th90th$5Professionalmedian $2 · 10th–90th $1$60%20%40%10th90th$2$1.0$5.0$20.0$100.0$500.0

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
$2.00 / $5.25 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $6.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.29 / $3.80
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.24 / $3.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.09 / $2.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.82 / $1.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.82 / $2.04