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Georgia rates for HCPCS C9113

Injection, pantoprazole sodium, per vial

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.78 / $9.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63