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Tennessee rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.46 / $126.74 / $194.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $128.69 / $220.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.29 / $134.16 / $255.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.72 / $779.72 / $949.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $128.25 / $203.50