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Missouri 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
$105.90 / $126.09 / $263.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $142.84 / $205.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.63 / $149.19 / $257.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $141.94 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.05 / $127.94 / $182.13