go back

Hawaii rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $150.76 / $216.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.21 / $161.30 / $299.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.86 / $173.13 / $199.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.62 / $154.85 / $180.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.77 / $161.30 / $251.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.13 / $182.57 / $390.24