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Wisconsin rates for HCPCS J3411

Thiamine HCl IJ SOLN 100 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $34.43 / $82.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.89 / $6.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.29 / $6.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.84 / $4.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $4.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $3.64 / $3.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $18.23 / $39.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $3.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $4.28
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $3.64 / $3.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.56 / $5.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.73