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Take-Home Medication from Office

Montana rates for HCPCS D9630

Medication that is given directly to you at the dental office to use at home, rather than a prescription you fill separately at a pharmacy. This might include items such as a rinse, gel, or other product related to your treatment.

Rates data updated July 2026.

How much does Take-Home Medication from Office cost?

$15.85

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $15.85 for this service. Most negotiated rates run $10.00 to $16.22.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $17Professionalmedian $10 · 10th to 90th $5 to $21
$10$20$50facility $16professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$10.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.22
Typical High
$16.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.22
Typical High
$16.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$60.26
Typical High
$85.11

Where Montana sits

The same service costs 14.5 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 14th of 50

$15.85

MN $66.07WV $4.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.