| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5.00 | $5.00 | $5.00 | |
Medcost
| Professional | $1.00 | $1.00 | $1.00 |
Injection, kanamycin sulfate, up to 75 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5.00 | $5.00 | $5.00 | |
Medcost
| Professional | $1.00 | $1.00 | $1.00 |