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Washington rates for HCPCS J3430

Vitamin K Phytonadione Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $5.91 / $192.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.00 / $8.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $3.33 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.73 / $6.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $3.41 / $8.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $5.35 / $5.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.54 / $6.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73