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West Virginia rates for HCPCS 96521

Refilling & Maintenance Portable Pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $143.22 / $183.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $150.41 / $243.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.24 / $140.91 / $298.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $152.93 / $266.83