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California rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $24.00 / $47.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $1,054.80 / $2,331.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.00 / $39.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $885.11 / $885.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $8.75 / $20.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $10.21 / $45.70