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Pennsylvania rates for RC 0252

Pharmacy - Non-Generic Drugs

Insurance Carrier
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.95 / $62.95 / $62.95
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.68 / $441.84 / $1,003.93