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Take-Home Medication from Office

Pennsylvania 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 rates vary

Facilitymedian $5 · 10th to 90th $5 to $5Professionalmedian $5 · 10th to 90th $5 to $20
$5$10$20facility $5professional $5

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
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.25
Typical High
$19.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.25
Typical High
$19.95