| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $4.63 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $4.63 | $4.63 | $4.63 | |
Medical Mutual of Ohio
| Facility | $11.37 | $21.96 | $33.65 |
Injection, pantoprazole sodium, per vial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $4.63 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $4.63 | $4.63 | $4.63 | |
Medical Mutual of Ohio
| Facility | $11.37 | $21.96 | $33.65 |