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Wisconsin rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $155.29 / $221.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.04 / $260.86 / $556.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.21 / $136.32 / $232.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.21 / $302.74 / $457.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $269.20 / $886.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.13 / $139.30 / $208.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.80 / $297.97 / $489.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.37 / $699.00 / $886.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.49 / $464.58 / $464.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.80 / $247.66 / $553.38