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Montana rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Facilitymedian $16 · 10th–90th $16–$170%50%100%10th90th$16Professionalmedian $8 · 10th–90th $5–$310%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $30.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $16.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $16.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $60.26 / $85.11