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Wyoming 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
$124.78 / $135.12 / $164.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $212.00 / $212.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.47 / $184.59 / $347.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.96 / $207.00 / $341.16