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Massachusetts rates for HCPCS D9630

Drugs/Medicaments Dispensed 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
$20.00 / $20.00 / $21.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $19.57 / $885.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $8.00 / $11.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $15.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $371.21 / $371.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $885.11 / $885.11