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Montana 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 / $5.41 / $5.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.25 / $10.71