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Oklahoma rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $109.58 / $146.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.30 / $144.31 / $176.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.34 / $130.74 / $779.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $124.51 / $165.10