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Montana 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
Professional
Modifier
Low / Median / High Price
$33.11 / $54.95 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $112.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $53.70 / $75.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $75.86 / $95.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $95.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $91.20