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California rates for RC 0255

Pharmacy - Drugs Incident to Radiology

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
$72.44 / $165.96 / $1,659.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $316.23