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Nationwide rates for HCPCS 62369

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill

Facilitymedian $933 · 10th–90th $50$7,4130%5%10%10th90th$933Professionalmedian $85 · 10th–90th $32$1860%10%20%10th90th$85$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$34.67 / $114.82 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,570.88 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $288.40 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $104.71 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $1,023.29 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $85.11 / $204.17