go back

Hawaii 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 / $123.03 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $288.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $194.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $162.18