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Iowa 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
$5.95 / $9.38 / $9.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.13 / $20.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $17.44 / $885.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $15.48 / $31.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $13.59 / $21.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $13.59 / $21.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $26.20 / $26.20