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Massachusetts rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $139.41 / $205.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $207.14 / $779.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.47 / $234.81 / $358.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $208.24 / $373.54
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $129.76 / $220.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $260.31 / $364.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.69 / $215.69 / $215.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $208.13 / $779.72
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $113.62 / $191.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.96 / $172.32 / $361.04