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New York 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 $52 · 10th–90th $32$830%20%10th90th$52Professionalmedian $66 · 10th–90th $36$1410%10%10th90th$66$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$37.15 / $52.48 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $39.81 / $79.43
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $52.48 / $97.72
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.51 / $39.81 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $57.54 / $162.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $151.36
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $52.48 / $75.86
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $144.54
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $48.98 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $181.97
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $51.29 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $107.15 / $831.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $50.12 / $102.33
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $48.98 / $102.33
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $173.78
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $48.98 / $91.20