Pantoprazole Injection

Name: Negotiated commercial rates for Pantoprazole Injection (HCPCS C9113), in Utah
Creator: Tynbil
License: https://tynbil.com/terms

Utah rates for HCPCS C9113

Injection, pantoprazole sodium, per vial

Rates data updated July 2026.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High