| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.63 | $4.82 | $5.09 | |
BCBS
| Professional | $4.91 | $4.91 | $4.91 |
Inj Pantoprazole Sodium, Via
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.63 | $4.82 | $5.09 | |
BCBS
| Professional | $4.91 | $4.91 | $4.91 |