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New Jersey 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
$89.99 / $120.16 / $190.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.67 / $163.61 / $310.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $172.61 / $225.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.34 / $157.41 / $238.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.47 / $130.35 / $213.76