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Maine 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 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $316.23