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Georgia 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 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $426.58 / $426.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $416.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $234.42 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $223.87