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Pennsylvania rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Facilitymedian $21 · 10th–90th $1$2,5120%5%10%10th90th$21$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $38,904.51 / $43,651.58
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,023.29 / $26,302.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $3.24 / $43.65
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $1,548.82 / $2,041.74