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Wisconsin rates for RC 0189

Leave of Absence-Other LOA

Insurance Carrier
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,398.83 / $5,011.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84