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Minnesota rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.07 / $126.73 / $194.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.81 / $328.22 / $429.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.01 / $281.35 / $344.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.23 / $271.20 / $284.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.95 / $249.02 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $230.34 / $378.48