go back

Hawaii rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $6.62 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.27 / $3.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.73 / $4.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.85 / $5.18