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Missouri 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 $38$830%20%40%10th90th$43Professionalmedian $66 · 10th–90th $36$1290%10%10th90th$66$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$38.02 / $38.02 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $81.28 / $141.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $67.61 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $77.62 / $112.20
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $41.69 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $51.29 / $83.18
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $457.09
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $60.26 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $52.48 / $83.18