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Vermont 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
$72.93 / $139.74 / $658.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $168.50 / $427.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.79 / $165.41 / $344.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.06 / $172.32 / $295.41