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Minnesota 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 $117 · 10th–90th $39$2630%10%10th90th$117Professionalmedian $98 · 10th–90th $43$2240%5%10th90th$98$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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $75.86 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $38.90 / $69.18
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.90 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $251.19
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $131.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $100.00 / $151.36
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $125.89 / $245.47
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $269.15
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $89.13 / $138.04
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $125.89 / $245.47
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $138.04 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $72.44 / $128.82