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Virginia rates for HCPCS 0425T

Insertion or replacement of neurostimulator system for treatment of central sleep apnea; sensing lead only

Facilitymedian $13,804 · 10th–90th $8,318–$16,9820%10%10th90th$13,804Professionalmedian $562 · 10th–90th $380–$8510%10%10th90th$562$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,964.78 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $851.14