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Minnesota rates for HCPCS D9630

Drugs/Medicaments Dispensed Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $9.38 / $9.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $9.38 / $22.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.57 / $65.44 / $107.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.35 / $62.32 / $65.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $11.33 / $885.11