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Iowa 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
$107.15 / $131.83 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $245.47 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $186.21 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $338.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $147.91 / $263.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $251.19