go back

Virginia 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
$103.46 / $132.13 / $165.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $135.59 / $226.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.66 / $122.96 / $245.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $149.69 / $287.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $132.88 / $212.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $166.00 / $231.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.43 / $170.00 / $285.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.54 / $135.49 / $232.18