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Pennsylvania rates for RC 0250

Pharmacy

Insurance Carrier
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $7.91 / $131.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $95.48 / $125.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,850.00 / $3,850.00 / $3,850.00