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Arizona rates for RC 0636

Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $4.21 / $18.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $10.68 / $43.04