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Missouri rates for HCPCS 62370

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 (requiring skill of a physician or other qualified health care professional)

Facilitymedian $1,585 · 10th–90th $91–$5,2480%5%10th90th$1,585Professionalmedian $87 · 10th–90th $42–$2400%5%10%10th90th$87$50.0$200.0$1.0K$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
$79.43 / $2,187.76 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $89.13 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $95.50 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $100.00 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $95.50 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $181.97 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $549.54 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $199.53