Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R25 - Effective April 1, 2026

Date Posted: April 2, 2026

This Billing and Coding 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, 2026

Summary of Article Changes: Updated pricing for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File Update:

Effective 04/01/2026 - 06/30/2026

Prialt (Ziconotide) = $10.464

Ropivacaine = $0.046

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Last Updated Apr 02 , 2026