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Illinois rates for HCPCS J3430

Injection, phytonadione (vitamin K), per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $5.25 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $12.88 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.07 / $19.95
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $3.09