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Arizona rates for HCPCS 96522

Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.46 / $126.74 / $205.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $103.72 / $116.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.74 / $138.87 / $263.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $131.10 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.89 / $124.20 / $234.01