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Nationwide rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Facilitymedian $71 · 10th–90th $4$2,5120%5%10th90th$71$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.68 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $131.83 / $489.78