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Utah rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.68 / $155.29 / $213.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.72 / $186.86 / $263.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.77 / $86.94 / $115.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $202.03 / $242.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.12 / $161.07 / $237.18