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New Mexico 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 $100 · 10th–90th $47–$5,0120%10%10th90th$100Professionalmedian $44 · 10th–90th $32–$910%20%10th90th$44$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$46.77 / $74.13 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $912.01 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $38.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $63.10 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $61.66 / $95.50