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Wisconsin 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
$7.34 / $7.34 / $7.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.34 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $9.36 / $29.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $10.31 / $17.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $17.91 / $885.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $10.31 / $17.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $22.09 / $30.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $17.68 / $885.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $9.00 / $11.39