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Wyoming rates for HCPCS J3411

Injection, thiamine HCl, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $24.23 / $89.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82