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Utah 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 $45 · 10th–90th $45–$450%50%$45Professionalmedian $58 · 10th–90th $34–$980%10%10th90th$58$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $38.02 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $52.48 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $74.13 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $107.15 / $131.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $56.23 / $77.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $42.66 / $58.88