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Pharmacy Extension of 025x - Self - Administrable Drugs

Nationwide rates for RC 0637

Pharmacy Extension of 025X-Self-Administrable Drugs

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $24$1,6220%10%10th90th$339$0.0$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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$74.13
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$467.74
Typical High
$1,230.27