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Maine 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
$9.39 / $9.39 / $9.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $371.21 / $371.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $9.39 / $20.00