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California rates for RC 0254

Pharmacy - Drugs Incident to Other Diagnostic Services

Insurance Carrier
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $38.79 / $45.70
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.70 / $166.98 / $256.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $195.00 / $315.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.00 / $2,085.00 / $2,085.00