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Pennsylvania rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $7.33 / $96.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.75 / $9.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.96 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.02 / $17.60 / $56.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $7.50 / $105.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.87 / $8.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $2.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $4.71