go back

Pennsylvania 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 $25 · 10th–90th $16$1070%20%10th90th$25Professionalmedian $29 · 10th–90th $13$580%5%10%10th90th$29$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
$15.85 / $25.70 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.14 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $28.84 / $44.67
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $64.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $14.79 / $25.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.84 / $42.66
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.55 / $16.60 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.05 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $26.92 / $58.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $89.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $21.38 / $28.18
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $47.86 / $61.66
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $77.62
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $18.20 / $30.20
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.30 / $31.62 / $51.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $20.89 / $25.70
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $47.86 / $91.20
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $15.85 / $34.67
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $30.90 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $85.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $77.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $14.13 / $15.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $30.20 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $75.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $17.38 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $26.92 / $46.77