| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $4.98 | $4.98 | $5.78 | |
UPMC Health Plan
| Professional | $4.98 | $4.98 | $5.78 | |
United
| Professional | $2.13 | $2.24 | $4.09 |
Injection, mannitol, 25% in 50 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $4.98 | $4.98 | $5.78 | |
UPMC Health Plan
| Professional | $4.98 | $4.98 | $5.78 | |
United
| Professional | $2.13 | $2.24 | $4.09 |