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Take-Home Medication from Office

New Hampshire 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?

$19.95

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $19.95 for this service. Most negotiated rates run $5.25 to $19.95.

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

Professionalmedian $20 · 10th to 90th $5 to $372
$10$20$50$100$200professional $20

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
$5.25
Median
$19.95
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54

Where New Hampshire 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.

New Hampshire· 6th of 50

$19.95

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.