go back

Implanting A Breathing Stimulator Generator

Kansas rates for HCPCS 0427T

The battery-powered generator of an implanted system for central sleep apnea is placed or replaced in a pocket under the skin of the upper chest. The generator drives the stimulation that prompts a breath when the brain fails to signal one, working through leads that are already in place. Only the generator is handled here, and the existing leads are connected to it.

Facilitymedian $5,012 · 10th–90th $316$21,8780%20%10th90th$5,012Professionalmedian $437 · 10th–90th $363$2,0890%20%10th90th$437$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$5,011.87
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$501.19