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Pennsylvania 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 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $138.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $281.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $125.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $251.19 / $331.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $117.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $239.88