go back

Michigan 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 $49 · 10th–90th $47–$600%50%10th90th$49Professionalmedian $68 · 10th–90th $36–$1320%5%10%10th90th$68$50.0$100.0$200.0$500.0

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
$46.77 / $48.98 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $41.69 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $109.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $83.18 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $47.86 / $151.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $85.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $141.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $41.69 / $91.20
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $102.33
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $46.77 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $45.71 / $63.10