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New Jersey rates for HCPCS C9113

Injection, pantoprazole sodium, per vial

Facilitymedian $11,482 · 10th–90th $14–$25,7040%10%10th90th$11,482Professionalmedian $5 · 10th–90th $5–$50%50%100%$5$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13