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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

Massachusetts rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Rates data updated July 2026.

How much rates vary

Facilitymedian $2,951 · 10th to 90th $60 to $8,511
$100.0$1.0K$10.0Kfacility $2,951

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11