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South Carolina 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
$101.35 / $117.04 / $170.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $81.13 / $129.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.27 / $149.44 / $254.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $108.39 / $307.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.23 / $110.74 / $172.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $114.55 / $181.69