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Refilling A Portable Medication Pump

South Dakota rates for HCPCS 96521

A visit in which a clinician refills the medication reservoir of a portable infusion pump worn outside the body, checks the settings and tubing, and confirms the pump is delivering as it should. It covers the work on the pump rather than the drug inside it, which is supplied separately. Refills are scheduled around how quickly the reservoir empties.

Rates data updated July 2026.

How much does Refilling A Portable Medication Pump cost?

$186

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $151 to $263.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $186 · 10th to 90th $126 to $324
$200$500$1Kprofessional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$323.59

Where South Dakota sits

The same service costs 2.0 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 12th of 51

$186

MN $269KY $135

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.