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Oregon rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $152.49 / $529.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.68 / $245.78 / $336.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.83 / $241.91 / $306.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.36 / $200.10 / $292.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $253.79 / $324.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.56 / $269.87 / $329.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.93 / $231.84 / $353.63