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California rates for RC 0250

Pharmacy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,309.57 / $19,952.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $316.23