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Pennsylvania rates for HCPCS 93642

Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$234.95 / $289.04 / $858.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$289.04 / $289.04 / $858.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$243.07 / $243.07 / $243.07