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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

Facilitymedian $1,072 · 10th–90th $60–$3,5480%5%10th90th$1,072Professionalmedian $72 · 10th–90th $31–$1740%5%10%10th90th$72$20.0$100.0$500.0$2.0K$10.0K

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 / $91.20 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $75.86 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $95.50 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $93.33 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $91.20 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $549.54 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $83.18 / $190.55