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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
$102.33 / $123.03 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $190.55 / $281.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $117.49 / $169.82