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North Carolina rates for HCPCS C9113

Inj Pantoprazole Sodium, Via

Insurance Carrier
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00