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New Hampshire rates for HCPCS 93289

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; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $46.77 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $36.31 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $125.89 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $35.48 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $67.61 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $52.48 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $53.70 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $57.54 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $107.15 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $63.10 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $44.67 / $93.33
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $26.92 / $45.71