go back

Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

New Jersey rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Rates data updated July 2026.

How much does Pharmacy Extension of 025x - Drugs Requiring Detailed Coding cost?

$43.65

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $13.18 to $251.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44 · 10th to 90th $5 to $1,318
$0.1$10.0$1.0K$100.0Kfacility $44

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$57,543.99
Typical High
$57,543.99
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$43.65
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$891.25
Typical High
$1,318.26

Where New Jersey sits

The same service costs 25118.9 times more in Connecticut than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $43.65 · 19th of 31
CT $54,954WV $2.19

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.