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Michigan rates for HCPCS 93286

Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system

Facilitymedian $19 · 10th–90th $19–$190%50%$19Professionalmedian $28 · 10th–90th $13–$620%5%10%10th90th$28$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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.85 / $45.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $30.20 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $70.79
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $19.95 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $26.30 / $128.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $34.67 / $40.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $81.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $18.20 / $34.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.48 / $28.84 / $52.48
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $42.66 / $58.88
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $18.62 / $24.55
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $21.38 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $57.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $17.38 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $16.60 / $36.31