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Wisconsin rates for RC 0250

Pharmacy

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $17.39 / $191.92
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.27 / $482.24 / $13,339.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,976.00 / $4,976.00 / $4,976.00