go back

Implanted Defibrillator Programming Check

Virginia 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 $48 · 10th–90th $39$1950%20%40%10th90th$48Professionalmedian $71 · 10th–90th $39$1320%10%10th90th$71$20.0$100.0$500.0$2.0K$10.0K

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
$38.90
Median
$47.86
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$144.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$45.71
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$53.70
Typical High
$85.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$83.18
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$44.67
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$57.54
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$44.67
Typical High
$95.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$72.44
Typical High
$147.91
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$53.70
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$51.29
Typical High
$83.18