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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

New York 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?

$38.90

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $6.17 to $1,047.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39 · 10th to 90th $3 to $100,000
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $39

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
$50,118.72
Median
$100,000.00
Typical High
$100,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$20.42
Typical High
$407.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$2.63
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,000.00
Typical High
$1,047.13

Where New York 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 York $38.90 · 21st 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.