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Texas 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 $115 · 10th–90th $39$6760%5%10th90th$115Professionalmedian $79 · 10th–90th $32$1450%5%10%10th90th$79$20.0$100.0$500.0$2.0K

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
$32.36 / $91.20 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $79.43 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $70.79 / $117.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $91.20 / $208.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $416.87
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $85.11 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $81.28 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $85.11 / $190.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $91.20 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $74.13 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $95.50 / $97.72