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California rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.36 / $161.85 / $390.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $120.89 / $120.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.18 / $232.18 / $426.84
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $221.13 / $504.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.22 / $195.27 / $433.56
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.53 / $24.80 / $213.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $159.84 / $309.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.02 / $886.02 / $1,000.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $167.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $224.00 / $386.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.43 / $490.43 / $490.43
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.53 / $127.69 / $175.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $156.28 / $363.21