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Implanted Defibrillator Programming Check

Illinois rates for HCPCS 93260

An in-office check of an implanted defibrillator of the type whose lead runs under the skin rather than inside the heart. The device is connected to a programr, the information it has stored is reviewed, and its settings are tested and adjusted to the values that suit the patient best, with a written report by the doctor.

Facilitymedian $68 · 10th–90th $48$720%20%40%10th90th$68Professionalmedian $74 · 10th–90th $43$1480%10%10th90th$74$50.0$100.0$200.0$500.0

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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$47.86
Median
$67.61
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$47.86
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$154.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$60.26
Typical High
$91.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$288.40
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$54.95
Typical High
$213.80
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$50.12
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$134.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$54.95
Typical High
$85.11