| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,480.75 | $63,095.73 | $63,095.73 |
Injection, pantoprazole sodium, per vial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,480.75 | $63,095.73 | $63,095.73 |