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Michigan rates for HCPCS 62368

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming

Facilitymedian $245 · 10th–90th $56–$4,8980%10%10th90th$245Professionalmedian $48 · 10th–90th $32–$1120%10%10th90th$48$10.0$50.0$200.0$1.0K$5.0K

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
$54.95 / $213.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $44.67 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $51.29 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $158.49 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $107.15
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $46.77 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $812.83 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $70.79