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North Carolina 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
$103.85 / $118.39 / $152.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $192.55 / $316.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.83 / $165.25 / $293.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $144.00 / $166.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $163.62 / $195.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.64 / $129.01 / $219.66
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.72 / $779.72 / $949.58