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Maine rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $102.75 / $348.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.02 / $3.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.83 / $348.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.02 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $4.09