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Maryland 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
$101.35 / $126.74 / $178.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.92 / $122.96 / $184.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $149.35 / $276.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.98 / $141.02 / $229.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.07 / $133.76 / $197.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $148.47 / $166.66