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North Dakota 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
$118.39 / $126.73 / $152.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.27 / $271.83 / $292.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.28 / $253.61 / $339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.68 / $214.55 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $193.20 / $282.22