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South Dakota rates for RC 0636

Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $11.43 / $19.42
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00