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Illinois rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $346.74 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $251.19