CPT 93280

Program Eval Implantable In Persn Dual Ld Pacer

CPT 93280 pays $78.49 in a non-facility setting and $78.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.50 in Arkansas to $93.80 in Alaska, a 33% spread.

National non-facility rate

$78.49

Office and other outpatient settings

Facility rate
$78.49

Hospital and ASC settings

Highest state
$93.80

Alaska

Lowest state
$70.50

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $78.49
CPT 93280 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $78.49, national facility $78.49.
StateRate compared visuallyNon-facilityFacility
Alaska
$93.80$93.80
District of Columbia
$89.27$89.27
California
$88.33$88.33
New Jersey
$86.46$86.46
Washington
$86.29$86.29
New York
$86.18$86.18
Massachusetts
$85.43$85.43
Hawaii
$85.07$85.07
Connecticut
$83.29$83.29
Colorado
$81.83$81.83
Maryland
$81.14$81.14
Oregon
$81.11$81.11
Rhode Island
$80.54$80.54
New Hampshire
$80.46$80.46
Florida
$79.93$79.93
Minnesota
$79.06$79.06
Puerto Rico
$79.05$79.05
Virgin Islands
$79.05$79.05
Montana
$78.49$78.49
Nevada
$78.32$78.32
Wyoming
$78.14$78.14
Illinois
$78.04$78.04
Delaware
$77.86$77.86
Pennsylvania
$77.74$77.74
Texas
$77.73$77.73
North Dakota
$77.70$77.70
South Dakota
$77.60$77.60
Vermont
$77.31$77.31
Virginia
$77.21$77.21
Arizona
$76.68$76.68
Georgia
$76.40$76.40
Michigan
$75.86$75.86
Maine
$75.67$75.67
Wisconsin
$75.38$75.38
Utah
$75.23$75.23
North Carolina
$74.52$74.52
New Mexico
$74.44$74.44
South Carolina
$74.33$74.33
Missouri
$74.18$74.18
Louisiana
$74.02$74.02
Indiana
$74.00$74.00
Ohio
$73.97$73.97
Nebraska
$73.65$73.65
Idaho
$73.62$73.62
Iowa
$73.26$73.26
Tennessee
$73.13$73.13
Kansas
$72.83$72.83
Oklahoma
$72.62$72.62
Kentucky
$72.59$72.59
West Virginia
$72.24$72.24
Alabama
$71.40$71.40
Mississippi
$70.90$70.90
Arkansas
$70.50$70.50

Billed by 1 specialties

Commercial rates for 93280

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates