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Implanted Defibrillator Programming Check

Missouri 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.

Rates data updated July 2026.

How much does Implanted Defibrillator Programming Check cost?

$89.13

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $75.86 to $123.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $89 · 10th to 90th $65 to $174
$100$200$500professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$51.29
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$309.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$50.12
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$51.29
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$123.03
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$50.12
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$154.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$60.26
Typical High
$95.50
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$95.50
Median
$186.21
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$489.78
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$69.18
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$63.10
Typical High
$100.00

Where Missouri sits

The same service costs 2.4 times more in Minnesota than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 19th of 51

$89.13

MN $170OK $70.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.