| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $10.00 | $19.00 | $393.93 | |
Lucent Health
| Facility | $10.28 | $100.00 | $100.00 | |
Sutter Health Plus
| Professional | $4.93 | $4.93 | $4.93 |
Vancomycin Hcl Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $10.00 | $19.00 | $393.93 | |
Lucent Health
| Facility | $10.28 | $100.00 | $100.00 | |
Sutter Health Plus
| Professional | $4.93 | $4.93 | $4.93 |