go back

Hawaii rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $302.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $245.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $389.05