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Wisconsin rates for HCPCS 0428T

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

Facilitymedian $8,128 · 10th–90th $5,012–$13,4900%10%10th90th$8,128Professionalmedian $1,380 · 10th–90th $59–$2,8840%20%40%10th90th$1,380$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $10,715.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,232.93 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $2,818.38 / $5,623.41