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Virginia rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $150.76 / $204.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.66 / $259.69 / $420.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.76 / $139.72 / $279.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $180.19 / $326.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.03 / $140.04 / $244.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $200.00 / $281.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.37 / $185.26 / $324.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $169.61 / $266.83