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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

Texas 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?

$117

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $117 to $117.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $117 to $117
$20$50$100$200$500$1K$2Kfacility $117

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
Christus
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Molina
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Providence
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88

Where Texas 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.

Texas· 11th of 29

$117

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.