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West Virginia rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $7.74 / $25.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.84 / $2.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.82 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $6.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $8.55 / $20.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.61