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Virginia 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 $162 · 10th–90th $162–$2040%50%90th$162Professionalmedian $214 · 10th–90th $158–$3310%10%10th90th$214$100.0$200.0$500.0

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
$162.18 / $162.18 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $186.21 / $407.38
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $281.84 / $331.13