go back

Montana rates for HCPCS 93295

Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $64.41 / $191.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $56.79 / $56.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.79 / $67.50 / $119.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $70.67 / $125.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.34 / $59.84 / $126.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $58.77 / $91.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.59 / $65.40 / $118.33