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Wisconsin rates for HCPCS 62350

Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,258.93 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,995.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $794.33 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $812.83 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,595.87 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87