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Kentucky rates for HCPCS 93285

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; subcutaneous cardiac rhythm monitor system

Facilitymedian $30 · 10th–90th $6–$470%10%10th90th$30Professionalmedian $37 · 10th–90th $19–$740%5%10%10th90th$37$5.0$10.0$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $30.20 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $28.18 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $34.67 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $22.91 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $27.54 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $15.85 / $26.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $37.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.03 / $28.18 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $40.74 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $32.36 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $31.62 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $24.55 / $46.77