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Ohio 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 / $125.53 / $201.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $148.28 / $237.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.87 / $109.52 / $139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.35 / $142.65 / $228.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.52 / $143.63 / $216.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.89 / $106.08 / $150.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.01 / $127.64 / $198.05