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Kentucky rates for HCPCS 0431T

Removal and replacement of neurostimulator system for treatment of central sleep apnea, pulse generator only

Facilitymedian $11,749 · 10th–90th $9,550–$74,1310%20%40%10th90th$11,749Professionalmedian $525 · 10th–90th $282–$104,7130%10%20%10th90th$525$500.0$2.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $11,748.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $56,234.13 / $83,176.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $104,712.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $724.44