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California rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Facilitymedian $4,169 · 10th–90th $200–$19,0550%5%10th90th$4,169$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $10.23 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $100.00 / $354.81
HealthNet
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $4,677.35 / $19,498.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $194.98 / $316.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $66.07 / $120.23