| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5.12 | $25.81 | $100.00 | |
Medica
| Professional | $1.58 | $1.86 | $1.86 |
Vancomycin Hcl Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5.12 | $25.81 | $100.00 | |
Medica
| Professional | $1.58 | $1.86 | $1.86 |