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Louisiana rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $144.35 / $182.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $152.41 / $155.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.12 / $133.88 / $223.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $118.42 / $179.67