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New Hampshire rates for HCPCS 93641

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; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.55 / $223.87 / $371.54