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Indiana 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
$103.85 / $120.91 / $148.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $161.08 / $255.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $119.51 / $149.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.75 / $133.61 / $236.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.50 / $116.33 / $172.20