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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $213.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $40.74 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $51.29 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $48.98 / $97.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $158.49 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $53.70 / $95.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $46.77 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $870.96 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $70.79