| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3.89 | $4.01 | $7.85 | |
Kaiser Permanente
| Professional | $1.62 | $1.62 | $3.89 |
Injection Hydromorphone Up To 4 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3.89 | $4.01 | $7.85 | |
Kaiser Permanente
| Professional | $1.62 | $1.62 | $3.89 |