| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5.00 | $9.00 | $393.93 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Sutter Health Plus
| Professional | $5.88 | $5.88 | $5.88 |
Ranitidine Hydrochloride Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5.00 | $9.00 | $393.93 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Sutter Health Plus
| Professional | $5.88 | $5.88 | $5.88 |