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New Mexico rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.88 / $5.57