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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
$120.23 / $151.36 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $316.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $234.42 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $245.47