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Ohio rates for RC 0250

Pharmacy

Insurance Carrier
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $7.24 / $25.70
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $363.08 / $3,715.35