go back

South Dakota rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $152.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.75 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.73 / $3.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.80 / $7.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.84 / $3.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.41 / $4.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $3.31 / $5.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84