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Mississippi rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.34 / $126.73 / $182.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.59 / $138.56 / $181.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.04 / $120.13 / $161.87