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South Carolina rates for HCPCS J3430

Injection, phytonadione (vitamin K), per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $43.65 / $144.54
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 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $7.41 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.31 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $3.24 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.82 / $3.09