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New Mexico rates for HCPCS J3430

Injection, phytonadione (vitamin K), per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $8.13 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.07
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.16 / $6.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.82 / $2.82