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Missouri 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $90.67 / $520.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.25 / $76.09 / $141.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $127.14 / $127.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $38.81 / $65.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $93.02 / $198.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.63 / $90.67 / $395.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $188.35 / $848.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $760.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $149.72 / $214.13