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Texas rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $120.17 / $170.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.95 / $125.25 / $187.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.93 / $143.41 / $226.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.72 / $779.72 / $949.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $162.54 / $201.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $143.85 / $262.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.02 / $156.76 / $291.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $124.51 / $191.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.48 / $108.05 / $147.00