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California rates for RC 0252

Pharmacy-Nongeneric Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.00 / $2,750.00 / $2,750.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $38.79 / $45.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $195.00 / $315.00