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Pennsylvania 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 $95 · 10th–90th $35$1,5490%10%20%10th90th$95Professionalmedian $79 · 10th–90th $31$1660%10%10th90th$79$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $34.67 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $79.43 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $89.13 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $158.49 / $199.53
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $120.23 / $162.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,000.00 / $1,348.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $95.50 / $1,548.82
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $79.43 / $147.91
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $275.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $33.88 / $107.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.88 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $741.31 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $77.62 / $181.97