| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $8.11 | $9.02 | $9.02 | |
Health Alliance Plan
| Professional | $8.50 | $9.02 | $10.82 |
Injection, kanamycin sulfate, up to 500 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $8.11 | $9.02 | $9.02 | |
Health Alliance Plan
| Professional | $8.50 | $9.02 | $10.82 |