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Montana 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

Facilitymedian $55 · 10th–90th $41–$930%20%10th90th$55Professionalmedian $42 · 10th–90th $24–$890%10%10th90th$42$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $41.69 / $54.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $69.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $69.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $66.07