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Virginia 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 $41 · 10th–90th $33$1700%20%40%10th90th$41Professionalmedian $63 · 10th–90th $34$1170%10%10th90th$63$20.0$100.0$500.0$2.0K$10.0K

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
$33.11 / $40.74 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $39.81 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $69.18 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $38.02 / $69.18
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $77.62 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $37.15 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $48.98 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.90 / $83.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $67.61 / $138.04
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $46.77 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $44.67 / $72.44