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Indiana rates for HCPCS C9113

Inj Pantoprazole Sodium, Via

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $52,149.48 / $62,999.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59