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Michigan rates for RC 0250

Pharmacy

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $874.44 / $17,026.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00