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West Virginia rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.85 / $120.91 / $165.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.55 / $108.20 / $114.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $130.22 / $254.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $123.17 / $218.97