| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $4.22 | $4.22 | $4.90 | |
UPMC Health Plan
| Professional | $4.22 | $4.22 | $4.90 |
Injection, hydromorphone, up to 4 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $4.22 | $4.22 | $4.90 | |
UPMC Health Plan
| Professional | $4.22 | $4.22 | $4.90 |