# CPT 96521: Refilling and maintenance of portable pump

Medicare CPT 96521 pays $143.62 in a non-facility setting and $143.62 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.56 in Arkansas to $168.17 in District of Columbia, a 36% spread.

Web page: https://www.med-reveal.com/rates/96521-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $143.62 |
| National facility | $143.62 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $168.17 | $168.17 |
| California | $167.41 | $167.41 |
| Washington | $162.15 | $162.15 |
| New Jersey | $161.10 | $161.10 |
| Hawaii | $161.03 | $161.03 |
| New York | $160.32 | $160.32 |
| Massachusetts | $160.04 | $160.04 |
| Alaska | $154.81 | $154.81 |
| Connecticut | $154.59 | $154.59 |
| Colorado | $151.79 | $151.79 |
| Oregon | $150.21 | $150.21 |
| Maryland | $149.60 | $149.60 |
| New Hampshire | $148.84 | $148.84 |
| Rhode Island | $147.94 | $147.94 |
| Florida | $146.28 | $146.28 |
| Minnesota | $145.87 | $145.87 |
| Puerto Rico | $145.07 | $145.07 |
| Virgin Islands | $145.07 | $145.07 |
| Montana | $143.62 | $143.62 |
| Nevada | $143.37 | $143.37 |
| Wyoming | $143.02 | $143.02 |
| North Dakota | $142.24 | $142.24 |
| South Dakota | $142.07 | $142.07 |
| Delaware | $141.81 | $141.81 |
| Texas | $141.42 | $141.42 |
| Illinois | $141.25 | $141.25 |
| Vermont | $141.13 | $141.13 |
| Pennsylvania | $141.10 | $141.10 |
| Virginia | $140.65 | $140.65 |
| Arizona | $139.12 | $139.12 |
| Georgia | $137.92 | $137.92 |
| Maine | $136.78 | $136.78 |
| Michigan | $136.39 | $136.39 |
| Wisconsin | $136.37 | $136.37 |
| Utah | $135.33 | $135.33 |
| North Carolina | $133.78 | $133.78 |
| South Carolina | $133.07 | $133.07 |
| New Mexico | $132.95 | $132.95 |
| Indiana | $132.62 | $132.62 |
| Missouri | $132.53 | $132.53 |
| Louisiana | $132.05 | $132.05 |
| Ohio | $131.96 | $131.96 |
| Nebraska | $131.83 | $131.83 |
| Idaho | $131.65 | $131.65 |
| Iowa | $130.80 | $130.80 |
| Tennessee | $130.32 | $130.32 |
| Kansas | $129.57 | $129.57 |
| Oklahoma | $128.74 | $128.74 |
| Kentucky | $128.52 | $128.52 |
| West Virginia | $127.04 | $127.04 |
| Alabama | $125.83 | $125.83 |
| Mississippi | $124.35 | $124.35 |
| Arkansas | $123.56 | $123.56 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule

Commercial negotiated rates for 96521 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules