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Missouri 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 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $223.87