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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
$103.46 / $139.74 / $276.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.24 / $326.27 / $387.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.37 / $168.31 / $336.78
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.74 / $172.61 / $225.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $158.56 / $282.35