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Medicated Sinus Implant Placement

Wisconsin rates for HCPCS 0406T

A slim telescope is passed into the nose so the surgeon can see the sinus openings, and a small implant that slowly releases anti-inflammatory medication is placed into the ethmoid sinus, the honeycomb of air cells between the eyes. The implant helps hold the passage open and delivers medicine directly to the lining over a period of weeks. No external incisions are made.

Rates data updated July 2026.

How much does Medicated Sinus Implant Placement cost?

$347

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $347 to $398.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $355Professionalmedian $347 · 10th to 90th $50 to $398
$2$10$50$200facility $65professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$467.74

Where Wisconsin sits

The same service costs 42658.0 times more in Kentucky than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 17th of 28

$347

KY $56,234NJ $1.32

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.