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Kentucky 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 / $125.89 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $117.49 / $169.82