| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $2.70 | $4.05 | $4.58 | |
Health Alliance Plan
| Professional | $2.70 | $2.70 | $3.24 |
Injection, hydromorphone, up to 4 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $2.70 | $4.05 | $4.58 | |
Health Alliance Plan
| Professional | $2.70 | $2.70 | $3.24 |