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Maine 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 $43 · 10th–90th $43–$430%50%100%$43Professionalmedian $69 · 10th–90th $38–$1350%5%10%10th90th$69$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $41.69 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $50.12 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $52.48 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $104.71 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $57.54 / $125.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $41.69 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $53.70 / $77.62