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California rates for HCPCS 93640

Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement;

Facilitymedian $912 · 10th–90th $186–$1,0960%20%40%10th90th$912Professionalmedian $191 · 10th–90th $155–$3390%20%10th90th$191$100.0$200.0$500.0$1.0K$2.0K

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
$186.21 / $199.53 / $912.01
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $288.40 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $173.78 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83