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Michigan rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $152.33 / $212.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $105.13 / $120.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $184.58 / $219.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.21 / $136.66 / $232.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.61 / $171.52 / $362.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $136.94 / $189.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.57 / $100.63 / $147.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.69 / $151.00 / $189.46