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Ohio rates for HCPCS 0428T

Removal of neurostimulator system for treatment of central sleep apnea; pulse generator only

Facilitymedian $3,631 · 10th–90th $1,698–$15,1360%10%10th90th$3,631Professionalmedian $955 · 10th–90th $550–$1,3800%10%20%10th90th$955$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
$1,698.24 / $3,548.13 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $45,708.82 / $67,608.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,754.40 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $954.99 / $1,380.38