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New York 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
$103.05 / $132.35 / $194.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.32 / $207.02 / $289.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.60 / $178.60 / $178.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.46 / $182.60 / $431.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $159.21 / $227.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.71 / $144.88 / $273.33
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.59 / $135.59 / $135.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $170.25 / $365.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.34 / $141.59 / $301.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.06 / $130.03 / $273.33