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Idaho 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
$113.16 / $152.49 / $205.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.30 / $184.59 / $225.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.79 / $195.05 / $216.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $171.76 / $191.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.28 / $175.62 / $196.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.62 / $157.94 / $220.38