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Implanted Defibrillator Programming Check

Wisconsin 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 $123 · 10th–90th $79$2140%20%10th90th$123Professionalmedian $83 · 10th–90th $43$2630%5%10%10th90th$83$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$79.43
Median
$79.43
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$194.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$50.12
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$67.61
Typical High
$199.53
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$107.15
Median
$125.89
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$120.23
Typical High
$144.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$213.80
DeanCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$97.72
Typical High
$123.03
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
$74.13
Median
$125.89
Typical High
$489.78
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$81.28
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$199.53
Network Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$51.29
Typical High
$134.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$177.83
Typical High
$251.19
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$95.50
Median
$263.03
Typical High
$263.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$354.81
Typical High
$489.78
Quartz
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$213.80
Typical High
$263.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$512.86
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$181.97
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$263.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$74.13
Typical High
$162.18