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Ohio 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 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $302.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $218.78