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Pharmacy Extension of 025x - Self - Administrable Drugs

Wisconsin rates for RC 0637

Self-administrable drugs not requiring detailed coding

Rates data updated October 2026.

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $7
$1$2$5$10facility $4

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1.35
Median
$3.72
Typical High
$7.24