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Texas 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 / $4.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.99 / $7.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.87 / $885.11 / $885.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.99 / $8.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.99 / $8.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.72 / $52.00