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Wisconsin rates for HCPCS 80101

Drug Scr Qual 1 Drug Class Meth Ea Drug Class

Insurance Carrier
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.26 / $13.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.26 / $13.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.26 / $13.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $124.17