go back

Ohio rates for HCPCS C9113

Injection, pantoprazole sodium, per vial

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $55,999.44 / $59,702.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $21.96 / $33.65