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New Mexico 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 $151 · 10th–90th $47–$1,2880%10%20%10th90th$151Professionalmedian $81 · 10th–90th $32–$1620%10%20%10th90th$81$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$46.77 / $48.98 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $81.28 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $870.96 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $107.15 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $102.33 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $87.10 / $186.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $95.50 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $97.72 / $208.93