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Montana rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.83 / $264.83 / $264.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.02 / $9.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $11.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $11.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.96 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73