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Idaho rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $5.42 / $7.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $5.93 / $20.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00