go back

Montana rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $309.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $263.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $208.93 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $275.42