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Wisconsin 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
$30.90 / $91.20 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $134.90 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $125.89 / $199.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $61.66 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $66.07 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $97.72 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $74.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $154.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $537.03 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $234.42 / $1,023.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $117.49 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $67.61 / $181.97