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Montana 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $195.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $193.12 / $309.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $221.61 / $369.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.11 / $227.15 / $272.58