go back

Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

New York rates for RC 0636

Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding

Rates data updated October 2026.

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

$16.22

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $16.22 for this service. Most negotiated rates run $3.80 to $66.07.

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 $16 · 10th to 90th $2 to $407
$1$10$100$1K$10K$100Kfacility $16

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$85,113.80
Median
$85,113.80
Typical High
$85,113.80
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2.69
Median
$23.99
Typical High
$407.38
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$1.07
Median
$2.63
Typical High
$3.24

Where New York sits

The same service costs 2398.8 times more in Georgia than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 22nd of 29

$16.22

GA $5,248WV $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.