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South Dakota rates for RC 0259

Pharmacy - Other Pharmacy

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.08 / $38.08 / $38.08
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00