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Maine 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 $1,000 · 10th–90th $112–$1,0000%50%10th$1,000Professionalmedian $89 · 10th–90th $35–$1740%10%10th90th$89$50.0$100.0$200.0$500.0$1.0K

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
$112.20 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $89.13 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $52.48 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $107.15 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $107.15 / $194.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $87.10 / $194.98