| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $9.51 | $9.51 | $9.51 | |
UPMC Health Plan
| Professional | $9.51 | $9.51 | $9.51 |
Injection Cephalothin Sodium Up To 1 Gram (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $9.51 | $9.51 | $9.51 | |
UPMC Health Plan
| Professional | $9.51 | $9.51 | $9.51 |