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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

California rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $191$19,4980%5%10th90th$4,169$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$13.18
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$66.07
Typical High
$120.23
HealthNet
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$4,466.84
Typical High
$19,952.62
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$44.67
Typical High
$120.23