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Implanted Heart Defibrillator Check

New Jersey rates for HCPCS 93261

This in-person visit checks a defibrillator that has been implanted under the skin, a device that continuously monitors the heart's rhythm and can deliver a shock if it detects a dangerous rhythm. During the visit, a clinician reviews the device's recorded data and settings to make sure it's working correctly and picking up the heart's rhythm as intended. It does not involve reprogramming the device, just reviewing how it has been performing.

Rates data updated July 2026.

Facilitymedian $224 · 10th–90th $40$3470%20%10th90th$224Professionalmedian $63 · 10th–90th $35$1150%10%10th90th$63$20.0$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$39.81
Median
$223.87
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$97.72
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$39.81
Typical High
$52.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$218.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$52.48
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$57.54
Typical High
$75.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$41.69
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$165.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$44.67
Typical High
$83.18