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Nebraska 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
$106.76 / $120.16 / $150.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.95 / $175.37 / $236.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.47 / $236.59 / $291.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.18 / $218.05 / $779.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.44 / $222.86 / $291.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $201.43 / $312.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.18 / $201.92 / $273.31