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Wisconsin 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 $107 · 10th–90th $69–$1820%20%10th90th$107Professionalmedian $76 · 10th–90th $37–$2090%5%10%10th90th$76$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $57.54 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $104.71 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $165.96 / $194.98
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $85.11 / $107.15
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
$67.61 / $114.82 / $457.09
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $70.79 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $83.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $186.21
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $44.67 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $162.18 / $229.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $229.09 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $323.59 / $457.09
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $186.21 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $478.63
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $64.57 / $138.04