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South Carolina 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 $316 · 10th–90th $41–$9770%10%20%10th90th$316Professionalmedian $85 · 10th–90th $31–$1660%5%10%10th90th$85$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$40.74 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $85.11 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $97.72 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $107.15 / $204.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $87.10 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,148.15 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $77.62 / $190.55