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Washington rates for HCPCS 0428T

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

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,091.79 / $10,798.05 / $10,798.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.58 / $2,902.58 / $2,902.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,577.11 / $3,862.36 / $15,306.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.36 / $2,844.94 / $5,080.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.32 / $3,416.73 / $4,766.45