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North Dakota rates for HCPCS 96521

Refilling & Maintenance Portable Pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $150.76 / $216.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.10 / $286.44 / $308.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.68 / $271.35 / $357.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.69 / $260.48 / $886.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.46 / $191.94 / $318.08