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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
$128.40 / $167.56 / $216.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $201.05 / $358.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.36 / $190.43 / $306.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $170.71 / $315.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $173.37 / $185.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.19 / $185.28 / $253.78