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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

Wisconsin rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Rates data updated July 2026.

How much rates vary

Facilitymedian $16 · 10th to 90th $8 to $43
$5$10$20$50$100$200facility $16

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.85
Typical High
$42.66