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Michigan 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
$8.07 / $8.07 / $8.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $8.07 / $21.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $8.07 / $8.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,500.00