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New York rates for RC 0631

Pharmacy Extension of 025X-Single Source Drug

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $1$1,0470%20%40%10th90th$331$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,000.00
Typical High
$1,047.13