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Rhode Island rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.09 / $139.74 / $154.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.76 / $196.21 / $196.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $176.24 / $287.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.59 / $136.91 / $208.37