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Wisconsin rates for HCPCS 0425T

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

Facilitymedian $17,378 · 10th–90th $12,882–$30,2000%10%10th90th$17,378Professionalmedian $1,023 · 10th–90th $59–$2,4550%20%10th90th$1,023$100.0$500.0$2.0K$10.0K$50.0K

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
$12,882.50 / $17,378.01 / $30,199.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
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
$40,738.03 / $40,738.03 / $63,095.73
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $14,125.38 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $1,380.38 / $2,754.23