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: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

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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