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Pennsylvania 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
$4.59 / $5.23 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.23 / $20.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.23 / $20.00