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Wisconsin 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 $2,818 · 10th–90th $48$5,6230%10%10th90th$2,818Professionalmedian $39 · 10th–90th $23$1050%10%10th90th$39$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $50.12 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $91.20 / $144.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $64.57 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $47.86 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $72.44 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $69.18 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $70.79 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $63.10 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $162.18 / $831.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $37.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $85.11 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $48.98 / $120.23