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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
$113.05 / $143.22 / $216.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.15 / $101.15 / $108.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.72 / $116.97 / $249.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.97 / $169.60 / $278.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.82 / $181.96 / $237.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.83 / $121.83 / $126.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $150.75 / $254.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $196.09 / $379.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $168.39 / $286.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.50 / $119.61 / $191.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.97 / $149.05 / $246.66