Vitamin K (phytonadione) injection, 10 mg/mL

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Phytonadione 1 MG/0.5 ML Ampul

Payers reporting HCPCS J3430

Payer pricing summary

Low

Average

$143

Median

$53

High

$1.7k

Payer rate distribution

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#
1	Kaiser fee schedule · both · +15 other terms	50	$3	$26	$172	656%	17–71	$3 – $1.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	343	$7	$12	$51	412%	9–90	$0 – $2.2k
3	Anthem fee schedule · outpatient · +21 other terms	137	$4	$9	$19	223%	8–80	$2 – $307
4	UnitedHealthcare fee schedule · outpatient · +32 other terms	523	$5	$21	$164	796%	1–10	$0 – $7.0k
5	Aetna fee schedule · outpatient · +28 other terms	296	$6	$30	$99	327%	1–10	$0 – $2.1k
6	Medica fee schedule · outpatient · +16 other terms	71	$110	$20	$49	240%	1–10	$0 – $234
7	Caresource fee schedule · outpatient · +15 other terms	64	$4	$13	$24	186%	1–10	$0 – $140
8	Cigna fee schedule · outpatient · +25 other terms	428	$5	$18	$46	249%	—	$0 – $540
9	Humana fee schedule · outpatient · +25 other terms	189	$4	$36	$71	199%	—	$0 – $793
10	MultiPlan fee schedule · outpatient · +19 other terms	92	$102	$123	$157	128%	—	$0 – $886
11	Molina fee schedule · outpatient · +23 other terms	64	$5	$26	$77	295%	—	$1 – $904
12	Highmark facility · fee schedule · outpatient · +14 other terms	45	$5	$15	$17	108%	—	$2 – $76
13	Medicaid facility · fee schedule · outpatient · +11 other terms	37	$5	$7	$6	95%	—	$1 – $35
14	First Health fee schedule · outpatient · +18 other terms	34	$77	$73	$58	80%	—	$2 – $320
15	Regence facility · fee schedule · both · +13 other terms	34	$6	$13	$17	129%	—	$3 – $146
16	Excellus facility · fee schedule · both · +8 other terms	32	$6	$10	$11	110%	—	$2 – $64
17	Premera facility · fee schedule · both · +7 other terms	32	$6	$11	$12	106%	—	$3 – $64
18	Wellmark facility · fee schedule · both · +15 other terms	32	$6	$11	$15	131%	—	$3 – $127
19	Carefirst facility · fee schedule · both · +10 other terms	31	$6	$11	$12	105%	—	$3 – $64
20	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	31	$106	$118	$75	64%	—	$7 – $294
21	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	27	$3	$3	$1	34%	—	$3 – $6
22	Oscar facility · fee schedule · outpatient · +11 other terms	27	$3	$3	$0	7%	—	$3 – $4
23	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$119	$106	$61	58%	—	$16 – $206
24	WellCare fee schedule · outpatient · +16 other terms	24	$3	$20	$17	85%	—	$0 – $60
25	Bcbs La fee schedule · outpatient · +3 other terms	22	$3	$3	$0	8%	—	$3 – $4

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