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Washington, DC rates for HCPCS 93261

Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system

Facilitymedian $33 · 10th–90th $33–$3020%50%90th$33Professionalmedian $68 · 10th–90th $35–$1350%10%10th90th$68$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $75.86 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $104.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $72.44 / $117.49
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $37.15 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $58.88 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $38.90 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $91.20 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $48.98 / $81.28