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Wisconsin rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Facilitymedian $10 · 10th–90th $7–$8910%20%10th90th$10Professionalmedian $8 · 10th–90th $5–$220%10%20%10th90th$8$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.96 / $25.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $13.18 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $30.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $891.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $11.48