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Utah 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 $398 · 10th–90th $49–$6460%10%10th90th$398Professionalmedian $105 · 10th–90th $35–$2820%5%10th90th$105$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
$48.98 / $398.11 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $107.15 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $104.71 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $588.84 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $109.65 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $102.33 / $190.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $128.82 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $79.43 / $165.96