| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Professional | $1.22 | $4.00 | $4.00 | |
Univera
| Facility | $1.22 | $1.22 | $1.22 | |
Univera
| Professional | $1.22 | $1.22 | $1.22 |
Injection, kanamycin sulfate, up to 75 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Professional | $1.22 | $4.00 | $4.00 | |
Univera
| Facility | $1.22 | $1.22 | $1.22 | |
Univera
| Professional | $1.22 | $1.22 | $1.22 |