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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)

Facilitymedian $18,621 · 10th–90th $13,804–$30,9030%20%10th90th$18,621Professionalmedian $1,288 · 10th–90th $59–$3,4670%20%10th90th$1,288$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,197.01 / $30,902.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199,526.23 / $199,526.23 / $301,995.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $21,877.62 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,949.84 / $3,890.45