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Alaska rates for HCPCS J3430

Injection, phytonadione (vitamin K), per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $48.98 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $48.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $9.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $10.00 / $15.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.16 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.27 / $158.49