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Implanting A Lead For A Breathing Stimulator

Iowa rates for HCPCS 0426T

One of the wires, or leads, belonging to an implanted system that treats central sleep apnea is placed or replaced. The lead is threaded through a vein in the upper chest into position and connected to the implanted generator, which prompts a breath when the brain fails to signal one. Only the lead is handled in this service.

Rates data updated July 2026.

How much does Implanting A Lead For A Breathing Stimulator cost?

$631

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $631 to $2,455.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $6,761 · 10th to 90th $631 to $51,286Professionalmedian $631 · 10th to 90th $151 to $2,455
$200$1K$5K$20Kfacility $6,761professional $631

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
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$51,286.14
Typical High
$51,286.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$2,454.71
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83

Where Iowa sits

The same service costs 1412.5 times more in Indiana than in South Carolina. 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.

Iowa· 35th of 39

$631

IN $42,658SC $30.20

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.