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Virginia rates for HCPCS 0428T

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

Facilitymedian $6,761 · 10th–90th $5,248$11,2200%20%10th90th$6,761Professionalmedian $1,096 · 10th–90th $708$1,6980%10%10th90th$1,096$500.0$1.0K$2.0K$5.0K$10.0K

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
$5,888.44 / $6,760.83 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,760.83 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,096.48 / $1,698.24