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Implanted Defibrillator Programming Check

Utah 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 $52 · 10th–90th $52$520%50%$52Professionalmedian $65 · 10th–90th $40$1200%10%10th90th$65$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$120.23
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$43.65
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$162.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$61.66
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$83.18
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$85.11
Typical High
$112.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$144.54
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$64.57
Typical High
$89.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$114.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$48.98
Typical High
$69.18