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Wisconsin rates for HCPCS 0424T

Insertion or replacement of neurostimulator system for treatment of central sleep apnea; complete system (transvenous placement of right or left stimulation lead, sensing lead, implantable pulse generator)

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $30,902.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $199,526.23 / $301,995.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $21,877.62 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $1,949.84