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Implanted Defibrillator Programming Check

New Jersey 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 $257 · 10th–90th $48$3980%20%10th90th$257Professionalmedian $69 · 10th–90th $40$1350%10%10th90th$69$50.0$100.0$200.0$500.0$1.0K

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
$257.04
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$147.91
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$44.67
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$61.66
Typical High
$131.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$158.49
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$60.26
Typical High
$87.10
Horizon BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$169.82
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$53.70
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$169.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$51.29
Typical High
$97.72