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New York rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Facilitymedian $16 · 10th–90th $8–$1,3490%20%10th90th$16Professionalmedian $9 · 10th–90th $4–$220%10%20%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $47.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $50,118.72 / $53,703.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.91 / $8.91
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.91 / $8.91