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Wisconsin rates for RC 0636

Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $15.95 / $42.32
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00