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Washington rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.01 / $161.30 / $325.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.26 / $108.26 / $108.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.18 / $307.61 / $1,086.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.66 / $253.63 / $386.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.19 / $241.36 / $356.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $164.11 / $278.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.81 / $287.93 / $354.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.88 / $249.61 / $329.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.69 / $225.62 / $393.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.45 / $137.38 / $137.38