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Removing A Lead From A Breathing Stimulator

Wisconsin rates for HCPCS 0430T

One of the wires belonging to an implanted central sleep apnea stimulation system is removed. The lead is freed and withdrawn along the vein through which it was placed, while the rest of the system stays where it is. Removing a lead takes extra care because tissue grows around it over time.

Rates data updated July 2026.

How much does Removing A Lead From A Breathing Stimulator cost?

$8,128

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $8,128 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$70.79 to $2,818
FacilityA hospital or hospital-owned outpatient department$8,128$6,457 to $10,715

How much rates vary

Facilitymedian $8,128 · 10th to 90th $5,012 to $16,218Professionalmedian $1,259 · 10th to 90th $50 to $2,818
$100.0$500.0$2.0K$10.0Kfacility $8,128professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$14,125.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$10,715.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 457.1 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $8,128 · 4th of 39
IN $13,804SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.