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New Jersey 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 $759 · 10th–90th $44$4,2660%5%10%10th90th$759Professionalmedian $87 · 10th–90th $32$2090%5%10%10th90th$87$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
$37.15 / $141.25 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $81.28 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $120.23 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $165.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $954.99 / $1,513.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $95.50 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $77.62 / $223.87