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In-Person Pacemaker Check and Adjustment, Two-Lead System

New Mexico rates for HCPCS 93280

A clinician connects to an implanted heart pacemaker during an in-office visit to check its settings, battery status, and how well it's working, adjusting the programming as needed. This version applies to a pacemaker system with two wires (leads) placed in the heart. The visit is done in person rather than through remote transmission.

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $54$680%50%10th90th$55Professionalmedian $54 · 10th–90th $32$1410%5%10%10th90th$54$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$53.70
Median
$54.95
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$41.69
Typical High
$173.78
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$38.02
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$120.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$52.48
Typical High
$72.44
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$33.11
Typical High
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$154.88
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$52.48
Typical High
$72.44
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$34.67
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$131.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$57.54
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$38.02
Typical High
$57.54