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Connecticut 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
$102.33 / $125.89 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $316.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $141.25 / $239.88