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Implanted Defibrillator Programming Check

South Dakota 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 $45 · 10th–90th $45$690%50%90th$45Professionalmedian $85 · 10th–90th $43$1580%10%10th90th$85$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
$44.67
Median
$44.67
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$44.67
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$204.17
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$87.10
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$489.78
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$79.43
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$186.21
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$97.72
Typical High
$102.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$147.91
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$67.61
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$77.62
Typical High
$112.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$186.21
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$85.11
Typical High
$100.00