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Virginia rates for HCPCS 0426T

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

Facilitymedian $19,498 · 10th–90th $12,589–$34,6740%10%20%10th90th$19,498Professionalmedian $550 · 10th–90th $355–$8510%10%10th90th$550$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,782.79 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $549.54 / $851.14