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Nebraska rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $12.02 / $83.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $724.44