go back

Kansas rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $126.09 / $178.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $152.53 / $179.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.77 / $157.13 / $223.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.31 / $146.86 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.28 / $138.85 / $200.48