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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

Pennsylvania 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?

$20.89

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20.89 for this service. Most negotiated rates run $2.04 to $1,023.

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 $21 · 10th to 90th $1 to $2,512
$1.0$10.0$100.0$1.0K$10.0Kfacility $21

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$38,904.51
Typical High
$43,651.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$26,302.68
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.46
Median
$2.88
Typical High
$33.88
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$1,548.82
Typical High
$2,041.74

Where Pennsylvania 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.

Pennsylvania $20.89 · 23rd 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.