go back

Utah 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
$81.28 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $54.95 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $69.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $56.23 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $64.57 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $46.77 / $72.44