go back

Minnesota 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 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $346.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $204.17 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $363.08