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New Jersey rates for HCPCS C9113

Inj Pantoprazole Sodium, Via

Insurance Carrier
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $9.96 / $20.28
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $23.40