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Utah rates for HCPCS J3430

Injection, phytonadione (vitamin K), per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $54.95 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.39 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.31 / $5.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.75 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82