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See a sample rate comparisonCPT 62369 Fee Schedule
Medicare rates as of October 2026
CPT 62369 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
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| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital |
| Complexity Level | Low |
| Medicare Fee Schedule | $97.20 national non-facility rate (2026) · View Medicare rates for 62369 |
| Medicaid Fee Schedule | $78.215 median of the 8 states in the free preview · View Medicaid rates for 62369 |
National average reimbursement for CPT 62369 by major payers:
$132.51
BCBS / Anthem
$152.22
UnitedHealthcare
$143.39
Aetna
$181.46
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62369.
CPT 62369
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$1,528.00Published rateYorkville Endoscopy, LLC
Yorkville Endoscopy LLC
$665.00Published ratePacific Cataract And Laser Institute Of Alaska Inc PC
$483.00Published rateCanyon View Asc, LLC, Canyon View Asc
Canyon View Asc LLC
$201.00Published rateMethodist Endoscopy Center LLC
Methodist Endoscopy Center, LLC
$86.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62369 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62369. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62368-CPT | Low | Analyze Sp Inf Pump W Reprog, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming |
| 62369-CPT | Low | Anal Sp Inf Pmp W Reprg Fill, 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 |
| 62370-CPT | Low | Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Or Reservior Status Alarm Status Drug Prescription Status); With Re Programming And Refill (Requiring Skill Of A Physician Or Other Qualified Health Care Professional) (Revised 1/1/2013) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62369. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62369 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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