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Ohio rates for HCPCS D9630

Drugs/Medicaments Dispensed Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $34.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $8.52 / $9.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $42.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00