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Alaska rates for HCPCS 62367

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.87 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $42.18 / $153.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.85 / $87.70 / $136.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.27 / $122.65 / $214.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $93.15 / $187.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.75 / $129.60 / $229.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.23 / $130.38 / $214.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $129.50 / $229.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $128.99 / $213.75