Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R20 - Effective April 1, 2025

Date Posted: April 11, 2025

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: April 1, 2025

Summary of Article Changes:

Updated prices for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File update:

Effective 04/01/2025 - 06/30/2025

Prialt (Ziconotide) = $9.698

Ropivacaine = $0.055

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